Alaska Medical Marijuana 2024 List of Conditions

As of 2024, the qualifying conditions for a medical marijuana card in Alaska include:

• Cancer
• Glaucoma
• HIV/AIDS
• Chronic pain
• Epilepsy
• Post-traumatic stress disorder (PTSD)
• Multiple sclerosis
• Crohn’s disease
• Alzheimer’s disease
• Amyotrophic lateral sclerosis (ALS)
• Cachexia or wasting syndrome
• Seizures
• Severe nausea
• Persistent muscle spasms

Please note that this is not an exhaustive list, and other conditions may also qualify. It is important to consult with a healthcare provider to determine eligibility.

Alaska Medical Marijuana Card Requirements:

To obtain a medical marijuana card in Alaska, individuals must meet the following requirements:

• Be a resident of Alaska with a valid Alaska ID or driver’s license
• Have a qualifying medical condition as determined by a healthcare provider
• Obtain a written certification from a qualified healthcare provider
• Submit an application to the Alaska Department of Health and Social Services, along with the required fees and documents

Personal Use and Possession: Adults 21 and older may possess up to 1 ounce of marijuana and grow up to 6 plants (no more than 3 mature) for personal use. Sharing 1 ounce or less with other adults is permitted, but public consumption is prohibited and punishable by a fine. 

Distribution, Sale/Delivery: Distribution and sale are regulated. Penalties vary based on the amount and whether the sale was to a minor. Unlicensed marijuana sales are subject to criminal penalties. 

Cultivation: Adults can grow up to 6 plants or up to 12 plants in a single dwelling. Plants must be secured and out of public view. Cultivation of 25 or more plants is a felony. 

Hashish & Hashish Oil: Possession, distribution, and manufacture are subject to penalties. 

Arizona has a well-established medical marijuana program, legalized in 2010 with the Arizona Medical Marijuana Act (AMMA). The program is overseen by the Arizona Department of Health Services (ADHS).

Eligibility Requirements:

• Be an Arizona resident.
• Be at least 18 years old.
• Have a qualifying medical condition.
• Patients under 18 must have a legal guardian register as their caregiver.

Qualifying Conditions:

• Amyotrophic Lateral Sclerosis (ALS) 
• Agitation of Alzheimer’s disease 
• Cachexia or wasting syndrome 
• Cancer
• Chronic pain 
• Crohn’s disease 
• Glaucoma
• Hepatitis C 
• HIV 
• AIDS 
• Nausea 
• Seizures 

Application Process:

1. Obtain a physician certification form from a licensed Arizona physician.
2. Apply online through the ADHS Medical Marijuana Licensing Management System (MMLMS).
3. Submit the required documentation, including the completed application, physician certification form, and proof of residency.

Physician Requirements:

• Physicians must be licensed in Arizona.
• They must complete a full assessment of the patient’s medical history and condition.
• They must specify the qualifying patient’s debilitating medical condition in the written certification.

Costs:

• $150 for a medical marijuana card. 

Possession Limits:

• 2.5 ounces of usable marijuana every 14 days. 
• If authorized to cultivate, 12 marijuana plants in an enclosed, locked facility. 

Other Relevant Information:

• Arizona has reciprocity with other states, allowing qualified patients from other states to possess medical marijuana but not purchase it.
• The ADHS provides resources on using medical marijuana safely.

Arizona legalized recreational cannabis in 2020 with the passage of Proposition 207, also known as the Smart and Safe Arizona Act. Retail sales began in 2021.

Legal Age: 21 years or older.

Possession Limit:

• Up to 1 ounce of marijuana 
• No more than 5 grams of that ounce can be in the form of concentrate 

Home Cultivation:

• Adults 21 and older can cultivate up to 6 marijuana plants at home.
• Households with two or more adults can have up to 12 plants. 

Consumption Restrictions:

• Smoking cannabis in public places is illegal. 

Where to Purchase:

• Cannabis can be purchased at licensed dispensaries. 

Other Relevant Information:

• Adults can legally transfer up to 1 ounce of marijuana to another adult without any remuneration. 
• Possession of drug paraphernalia is legal for adults 21 and older. 
• There is a 16% excise tax on recreational cannabis sales, in addition to regular sales taxes.

Arkansas legalized medical marijuana in 2016 with the passage of the Arkansas Medical Marijuana Amendment. The program is operational, and patients with qualifying conditions can obtain medical cannabis from licensed dispensaries. 

Eligibility Requirements:

• Be at least 18 years old or be a minor patient with a parent/guardian who applies as a caregiver.
• Be diagnosed with a qualifying medical condition. 
• Have the official physician written certification form.
• Be an Arkansas resident with proof of residency.
• State law prohibits members of the Arkansas National Guard and the United States Military from obtaining a registry ID card.

Qualifying Conditions – Arkansas has a fairly extensive list of qualifying conditions, including:

• ALS
• Alzheimer’s disease 
• Cachexia or wasting syndrome 
• Cancer
• Chronic or debilitating disease or medical condition 
• Crohn’s disease 
• Fibromyalgia 
• Glaucoma 
• Hepatitis C 
• HIV/AIDS 
• Intractable pain (pain that has not responded to ordinary medications, treatment, or surgical measures for more than six months) 
• Multiple sclerosis
• Peripheral neuropathy 
• PTSD
• Seizures, including those characteristic of epilepsy 
• Severe arthritis 
• Severe nausea 
• Severe and persistent muscle spasms 
• Tourette’s syndrome 
• Ulcerative colitis 
• Any medical condition or its treatment approved by the Department of Health 

Application Process:

1. Complete the patient application form.
2. Obtain a physician written certification.
3. Submit the application online through the Arkansas Department of Health.
4. Include a photocopy of your Arkansas-issued driver’s license or state ID.
5. Pay the $50 application fee.

Possession Limits:

• Patients may purchase up to 2.5 ounces of medical cannabis per 14-day period from state-licensed dispensaries. 

Other Relevant Information:

• Patients under 21 are not permitted to consume herbal forms of cannabis. 
• Inhaling herbal cannabis is not permitted by adults.
• Home cultivation is not permitted.

Recreational marijuana is illegal in Arkansas.

While Arkansas has a medical marijuana program, recreational use, possession, and cultivation remain against the law.

Penalties:

• Possession of up to 4 ounces is a misdemeanor with a fine of up to $2,500, up to one year in jail, and a six-month driver’s license suspension.
• Possession of larger amounts can result in felony charges with harsher penalties.

Recent Developments:

• In 2022, voters rejected Issue 4, a ballot initiative that would have legalized recreational marijuana for adults 21 and older. 
• There are ongoing efforts to legalize recreational cannabis, but as of December 2024, no such law has been passed.

It’s important to be aware of and respect Arkansas’s marijuana laws to avoid potential legal consequences.

California has a long history with medical cannabis, becoming the first state to legalize it in 1996 with the Compassionate Use Act, Proposition 215. While California also has a recreational cannabis program, there are some potential benefits to obtaining a Medical Marijuana Identification Card (MMIC), such as tax exemptions and higher possession limits.

Eligibility Requirements: 

• Have a serious medical condition.
• Obtain a physician’s recommendation.

Qualifying Conditions – California has a broad list of qualifying conditions, including:

• AIDS
• Anorexia
• Arthritis
• Cachexia (wasting syndrome)
• Cancer
• Chronic pain
• Glaucoma
• Migraine
• Persistent muscle spasms
• Seizures 
• Any other chronic or persistent medical symptom that limits major life activities or could cause serious harm if not alleviated.

Application Process:

1. Obtain a physician’s recommendation.
2. Apply in person to your county program.
3. Provide the required documentation, including the recommendation, proof of identity, and proof of residency.
4. Pay the application fee.

Physician Requirements: 

• Physicians must provide a written recommendation for the use of medical marijuana.

Costs: 

• $100 application fee, or $50 for Medi-Cal beneficiaries.

Possession Limits: 

• No specific possession limits are specified; the amount must be “consistent with the patient’s needs.”

Other Relevant Information: 

• Home cultivation is allowed, but local ordinances can limit or ban it.
• Minors can apply with parental/guardian consent.
• California has a Medical Marijuana Identification Card Program (MMICP) to verify the validity of MMICs.

California led the way in legalizing recreational cannabis with Proposition 64 in 2016 . Retail sales began in 2018.

Legal Age: 21 years or older.

Possession Limit:

• Up to 1 ounce (28.5 grams) of cannabis flower.
• Up to 8 grams of concentrated cannabis.

Home Cultivation:

• Adults 21 and older can grow up to 6 plants at home.
• Local jurisdictions may have stricter rules or prohibitions on cultivation. 

Consumption Restrictions:

• It is illegal to consume cannabis in public places.
• Smoking or vaping cannabis is prohibited in places where tobacco smoking is banned.
• Driving under the influence of cannabis is illegal.

Where to Purchase:

• Cannabis can be purchased at licensed retail stores.

California has a large and diverse recreational cannabis market, with numerous dispensaries and businesses operating throughout the state. It’s important to be aware of and follow the state’s regulations on possession, cultivation, and consumption to ensure responsible and legal use.

Colorado has a long history with medical cannabis, legalizing it in 2000. While recreational cannabis is also legal in the state, there are still benefits to having a medical marijuana card, such as lower taxes and higher possession limits. 

Eligibility Requirements: 

• Be a Colorado resident.
• Be 18 or older.
• Have a qualifying medical condition.

Qualifying Conditions: 

• Cancer
• Glaucoma
• HIV or AIDS 
• Cachexia
• Persistent muscle spasms
• Seizures
• Severe nausea 
• Severe pain
• Any condition for which a physician could prescribe an opioid
• Autism spectrum disorder 

Application Process: 

1. Schedule an appointment with a licensed medical marijuana doctor.
2. Obtain a provider certification from the doctor.
3. Go to the Colorado Department of Public Health and Environment (CDPHE) Medical Marijuana Registry site. 
4. Register as a patient.
5. Complete the application and submit it with the required documentation (including a valid Colorado ID, your social security number, and caregiver’s registration ID if applicable) and the application fee.

Physician Requirements: 

• Physicians must be licensed in Colorado. 
• They must certify that the patient has a qualifying condition and might benefit from medical marijuana. 

Costs: 

• $25 application processing fee.

Possession Limits: 

• Not specified in the provided materials.

Other Relevant Information: 

• Registry identification cards are valid for no less than 60 days and no more than one year, as determined by the recommending physician.
• Patients can designate a primary caregiver. 

Colorado was the first state in the U.S. to legalize recreational cannabis, with Amendment 64 passing in 2012 and sales beginning in 2014.

Legal Age: 21 years or older.

Possession Limits:  

• Colorado residents can possess up to 2 ounces of cannabis. 
• Non-residents can possess up to 1 ounce.

Home Cultivation:

• Adults 21 and older can cultivate up to 6 plants at home (with no more than 3 being mature flowering plants). 
• If there are multiple adults residing in the same dwelling, the maximum number of plants that may be cultivated in the residence is 12 plants (no more than 6 being mature flowering plants).

Consumption Restrictions:

• Public consumption is illegal. 
• Driving under the influence of cannabis is illegal. 

Where to Purchase:

• Cannabis can be purchased at licensed retail stores. 

Colorado has a mature and well-regulated recreational cannabis market, with numerous dispensaries and businesses operating throughout the state. It’s important to be aware of and follow the state’s regulations on possession, cultivation, and consumption to ensure responsible and legal use.

Connecticut legalized medical marijuana in 2012. The program has expanded over the years, and Connecticut also legalized recreational cannabis in 2021.

Eligibility Requirements:

• Be a Connecticut resident.
• Be at least 18 years old.
• Have a qualifying medical condition diagnosed by a Connecticut-licensed physician. 

Qualifying Conditions – Connecticut has a comprehensive list of qualifying conditions for adults, including:

• Cancer
• Glaucoma 
• HIV/AIDS 
• Parkinson’s disease 
• Multiple sclerosis
• Damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity 
• Epilepsy 
• Uncontrolled seizure disorder 
• Cachexia 
• Wasting syndrome 
• Crohn’s disease 
• Post-traumatic stress disorder (PTSD) 
• Irreversible spinal cord injury with objective neurological indication of intractable spasticity
• Cerebral palsy 
• Cystic fibrosis 
• Sickle cell disease

Application Process: 

• Visit a Connecticut-licensed physician or advanced practice registered nurse (RN) to be evaluated.
• Once approved by a physician, complete the online application and submit the required documents.

Physician Requirements: 

• Physicians must be licensed in Connecticut.
• They must certify that the patient has a qualifying condition and might benefit from medical marijuana use.

Possession Limits:

• Patients and caregivers can possess up to 2.5 ounces of medical marijuana obtained from their designated dispensary.

Other Relevant Information:

• Medical marijuana is purchased at licensed dispensaries. 
• Patients can designate a caregiver to purchase cannabis on their behalf. 
• Home cultivation is allowed for medical marijuana patients (up to three mature and three immature plants at home, with a maximum of 12 total plants per household.

It’s important to note that while recreational cannabis is legal in Connecticut, there are still potential benefits to having a medical marijuana card, such as lower costs and access to a wider range of products and services.

Connecticut legalized recreational cannabis in June 2021, with retail sales beginning in January 2023.

Legal Age: 21 years or older.

Possession Limit:

• Possession: Adults can possess up to 1.5 ounces of cannabis on their person and up to 5 ounces in a locked container in their home or vehicle.
• Purchase: Adults can purchase up to 0.25 ounces (7 grams) of cannabis per transaction.

Home Cultivation:

• Adults 21 and older can cultivate up to 3 mature and 3 immature plants at home, with a maximum of 12 plants per household. 
• This right went into effect on July 1, 2023. 

Consumption Restrictions:

• Cannabis consumption is prohibited in motor vehicles, workplaces, schools, and other public places.
• Consumption is also illegal in the presence of a minor (unless the minor is a qualified medical patient).

Where to Purchase:

• Cannabis can be purchased at licensed hybrid (adult-use and medical) retailers. 

Connecticut is in the process of establishing its recreational cannabis market, with social equity programs and regulations still being developed. It’s important to be aware of and comply with the state’s laws to ensure responsible and legal cannabis use.

Delaware legalized medical marijuana in 2011. The program has been operational since 2015 and has undergone some recent expansions.

Eligibility Requirements:

• Be at least 18 years old (or be a pediatric patient with parental consent).
• Have a qualifying medical condition certified by a physician (or self-certify if 65 or older).
• Be a Delaware resident.

Qualifying Conditions – Delaware previously had a specific list of qualifying conditions, including:

• Terminal illness
• Cancer
• HIV/AIDS
• Amyotrophic lateral sclerosis (ALS)
• Alzheimer’s disease with agitation
• Post-traumatic stress disorder (PTSD)
• Autism with aggressive behavior
• Glaucoma
• Chronic debilitating migraines

However, as of May 2024, physicians can recommend medical marijuana for any patient they believe might benefit, regardless of whether they have a state-specified qualifying condition.

Application Process:  

1. Obtain a written certification from a physician.
2. Submit a completed application to the Delaware Department of Health and Social Services (DHSS).

Physician Requirements:

• Physicians must certify that the patient has a qualifying medical condition and that they would benefit from medical marijuana.

Possession Limits:

• Registered patients may possess up to 6 ounces of marijuana.
• Caregivers may possess medical marijuana on behalf of up to five patients.

Other Relevant Information:

• Patients are not allowed to grow their own cannabis.
• Medical marijuana is purchased at licensed compassion centers.
• Approved medical cannabis patients can buy up to 3 ounces of marijuana or its equivalent every 14 days.
• Delaware also has a legal adult-use cannabis program.
• The state permits out-of-state patients to access Delaware dispensaries.

Delaware legalized recreational cannabis in April 2023. However, as of January 2025, retail sales are not yet legal, and regulations for the adult-use market are still being developed.

Current Laws:

• Legal Age: 21 years or older.
• Possession Limit: Up to 1 ounce of marijuana flower, or its equivalent in concentrates or edibles.
• Home Cultivation: Not permitted.
• Gifting: Adults can share cannabis with other adults, but no remuneration is allowed.
• Consumption: Consumption is permitted in private residences, but property owners may prohibit it. Public consumption is illegal. 
• Driving: Driving under the influence of cannabis is illegal. 

Key Takeaways:

• While adults can legally possess and use cannabis, they cannot yet purchase it from licensed retailers.
• Regulations for the recreational market are expected to be finalized in 2024, with sales potentially beginning in late 2024 or 2025. 
• It’s important to stay informed about the developing regulations and licensing procedures for recreational cannabis in Delaware.

Florida legalized medical marijuana in 2016 with the passage of Amendment 2. The program is operational, and qualified patients can obtain medical cannabis from licensed Medical Marijuana Treatment Centers (MMTCs). 

Eligibility Requirements:

• Be a Florida resident (permanent or seasonal). 
• Be diagnosed with a qualifying medical condition by a qualified physician. 

Qualifying Conditions:

• ALS 
• Cancer
• Crohn’s disease 
• Epilepsy 
• Glaucoma 
• HIV/AIDS 
• Multiple sclerosis 
• Parkinson’s disease 
• PTSD 

A qualified physician can also diagnose a patient with a medical condition of the same kind or class as those listed.

Application Process:

1. Visit a qualified physician to receive a recommendation.
2. If the physician determines that you qualify, they will enter your information into the Medical Marijuana Use Registry. 
3. Complete an online application to apply for your Florida Medical Marijuana Registry ID card.

Physician Requirements:

• Physicians must have an active, unrestricted license. 
• They must complete a 2-hour CME course and examination. 
• They must follow Florida law, diagnose patients, and determine if medical marijuana is an appropriate treatment. 

Possession Limits:

• A qualified physician may not issue a physician certification for more than three 70-day supply limits of marijuana or more than six 35-day supply limits of marijuana in a form for smoking. 
• A 35-day supply limit for marijuana in a form for smoking shall not exceed 2.5 ounces. 

Other Relevant Information:

• Medical marijuana may only be purchased at a licensed MMTC.
• Qualified patients can use medical marijuana at home or on private property. Public use is illegal, except for low-THC cannabis. 
• You can’t take medical marijuana in or out of Florida.

Recreational cannabis is illegal in Florida. Possession of small amounts of marijuana (less than 20 grams) is a misdemeanor, while larger amounts are a felony.

Key Takeaways:

• No Legal Recreational Use: Possessing, using, cultivating, or selling marijuana for non-medical purposes is against the law. 
• Penalties: Penalties for recreational marijuana offenses can include fines and jail time. 
• Medical Use Allowed: Florida has a medical marijuana program for qualified patients with certain debilitating conditions. 
• Public Consumption: It is illegal to consume marijuana in public, even if it was obtained legally for medical purposes. 

It’s important to be aware of and respect Florida’s marijuana laws to avoid potential legal consequences.

Georgia has a limited medical cannabis program that allows qualified patients to possess low-THC oil. It’s important to note that Georgia does not have a traditional medical marijuana card program.

Eligibility Requirements:

• Be a Georgia resident.
• Have a qualifying condition.

Qualifying Conditions: 

• AIDS 
• Alzheimer’s disease 
• Amyotrophic lateral sclerosis (ALS) 
• Autism spectrum disorder 
• Cancer
• Crohn’s disease 
• Epidermolysis bullosa 
• Intractable pain 
• Mitochondrial disease 
• Multiple sclerosis (MS) 
• Peripheral neuropathy 
• Parkinson’s disease 
• Post-traumatic stress disorder (PTSD) (for patients 18 or older) 
• Seizure disorders 
• Sickle cell disease 
• Tourette’s syndrome 

Application Process:

• Consult with a licensed physician.
• If approved, the physician submits the necessary forms.
• Pay for the low-THC oil registry card.

Physician Requirements: 

• Physicians must be fully licensed to practice in Georgia. 
• They must certify and manage patients with qualifying conditions.

Possession Limits:

• Patients can possess up to 20 fluid ounces of low-THC oil. 
• The oil must contain no more than 5% THC. 

Other Relevant Information:

• Only low-THC oil is allowed, no marijuana flower or vaping products. 
• Products available include tinctures, capsules, topicals, and lozenges. 
• Edibles must have less than 0.3% THC.
• Distribution of low-THC oil may be expanded to pharmacies in the future. 
• There are currently seven licensed dispensaries for low-THC oil in Georgia.

Recreational cannabis is illegal in Georgia . Possession of any amount of marijuana for non-medical purposes is a crime and can result in fines and jail time.

Georgia’s cannabis policies are lagging far behind public opinion and the rest of the country. Despite two-thirds of Georgians supporting legalization, the 2024 General Assembly failed to advance any meaningful cannabis reform. This inaction perpetuates a system where thousands are arrested each year for simple possession, with Black Georgians disproportionately impacted.

Key Takeaways:

• No Legal Recreational Use: Possessing, using, cultivating, or selling marijuana for recreational purposes is against the law. 
• Limited Medical Exception: Georgia has a limited medical marijuana program that allows qualified patients to possess low-THC oil (no more than 5% THC). This oil is not the same as marijuana flower and is typically used in the form of tinctures, capsules, topicals, and lozenges. 
• No Recreational Legalization Efforts: While some states have legalized or decriminalized recreational marijuana, there are currently no significant efforts to do so in Georgia.

It’s important to be aware of and respect Georgia’s marijuana laws to avoid potential legal consequences.

Hawaii legalized medical cannabis in 2000, making it the first state to do so through legislation rather than a ballot initiative. The program is overseen by the Office of Medical Cannabis Control and Regulation (OMCCR) within the Department of Health. 

Eligibility Requirements:

• Be a Hawaii resident. 
• Have a qualifying medical condition. 
• Obtain a physician’s certification. 

Qualifying Conditions:

• Cancer
• Glaucoma 
• HIV/AIDS 
• PTSD 
• Lupus 
• Epilepsy 
• Multiple sclerosis 
• Rheumatoid arthritis 
• Conditions causing severe pain, cachexia or wasting, severe nausea, seizures, or severe and persistent muscle spasms 

Application Process:

1. Apply for a registry card online through the official state website. 
2. Have a physician certify the application.

Physician Requirements:

• Physicians must be licensed in Hawaii and have the authority to prescribe controlled substances.

Possession Limits:

• Patients and their caregivers can collectively possess 4 ounces of processed marijuana. 

Other Relevant Information:

• Home cultivation is allowed (up to 7 plants).
• Medical marijuana is purchased at licensed dispensaries.
• Delivery services are not available.
• Hawaii has reciprocity with other states.
• There are no employment protections for medical cannabis patients.

Cannabis in Hawaii is illegal for recreational use but decriminalized for possession of three grams or less.

Hawaii made significant progress on cannabis policy in 2024, but with mixed results.

The good:

• A legalization bill passed the Senate for the first time and made it further than ever in the House.
• Bills establishing a pilot expungement program and a task force to study broader expungement were signed into law.

The bad:

• Despite strong support, the legalization bill ultimately stalled in the House.
• A bill to expand decriminalization amounts surprisingly failed in the final stages.

Overall: While full legalization and decriminalization didn’t happen, Hawaii took important steps toward reforming its cannabis laws, particularly with regards to expungement.

Idaho remains one of a handful of states that has not adopted any kind of meaningful cannabis policy reform in recent years.

Medical marijuana is not legal in Idaho. This means that: 

• Patients cannot legally possess or use marijuana for medical purposes.
• There is no medical marijuana program or system for obtaining a medical marijuana card. 
• Out-of-state medical marijuana cards are not recognized. 

CBD Oil:

• Idaho does have a limited exception for the use of low-THC CBD oil (cannabidiol) with a THC concentration of less than 0.3%. 
• This is primarily intended for treating children with severe forms of epilepsy. 

Efforts to Legalize:

• There have been multiple attempts to legalize medical marijuana through ballot initiatives, but none have been successful. 
• The Idaho Medical Marijuana Act, a proposed initiative, would have created a medical marijuana program with licensed dispensaries and home cultivation for some patients. However, it did not qualify for the ballot. 

It’s important to stay informed about any future legislative efforts to legalize medical marijuana in Idaho.

Recreational cannabis is illegal in Idaho. Idaho has some of the strictest cannabis laws in the United States. 

Penalties:

• Possession of less than 3 ounces is a misdemeanor with a penalty of up to 1 year in jail and/or a $1,000 fine. 
• Possession of more than 3 ounces is a felony with a penalty of 5 years in prison and a $10,000 fine.
• Subsequent offenses have double the penalties.

Recent Developments:

• In 2021, the Idaho Senate approved a constitutional amendment to ban the legalization of cannabis, but it failed in the House of Representatives.
• There have been multiple attempts to legalize medical marijuana through ballot initiatives, but none have been successful.

It’s important to be aware of and respect Idaho’s strict cannabis laws to avoid potential legal consequences.

Illinois legalized medical cannabis in 2013 with the Compassionate Use of Medical Cannabis Pilot Program Act. The program is operational and overseen by the Illinois Department of Public Health (IDPH).

Eligibility Requirements: 

• Be an Illinois resident.
• Have a qualifying debilitating medical condition.
• Have a healthcare professional electronically submit a certification for the use of medical cannabis.

Qualifying Conditions:

• Alzheimer’s disease
• Amyotrophic Lateral Sclerosis (ALS)
• Anorexia nervosa
• Arnold-Chiari malformation
• Autism
• Cachexia/wasting syndrome
• Cancer
• Causalgia
• Chronic Inflammatory Demyelinating Polyneuropathy 
• Chronic pain
• Complex regional pain syndrome type 2
• Crohn’s disease

Application Process: 

1. Be diagnosed with a qualifying condition.
2. Consult with a healthcare professional.
3. Register with the Illinois Cannabis Tracking System (ICTS).

Physician Requirements: 

• Physicians must be licensed in Illinois.
• They must certify that the patient has a qualifying condition and might benefit from medical cannabis use.

Possession Limits: 

• 2.5 ounces of cannabis per 14-day period.

Other Relevant Information: 

• Home cultivation is allowed (up to 5 mature plants).
• Medical cannabis is purchased at state-licensed dispensaries.
• Caregivers are allowed to pick up medicine for qualifying patients.
• Employment protections are in place for qualifying patients.
• Illinois does not have reciprocity with other states.

Illinois legalized recreational cannabis in 2019, with sales beginning on January 1, 2020. Here’s a summary of the key laws: 

Legal Age: 21 years or older.

Possession Limit:

• Up to 30 grams of cannabis flower.
• Up to 500 milligrams of THC in infused products (edibles).
• Up to 5 grams of cannabis concentrate.

Home Cultivation:

• Only medical marijuana cardholders can cultivate cannabis at home, with a limit of 5 plants.

Consumption Restrictions:

• It is illegal to consume cannabis in public places.
• Driving under the influence of cannabis is illegal.
• Non-Illinois residents are not allowed to possess or consume cannabis.

Where to Purchase:

• Cannabis can be purchased at licensed dispensaries.

Illinois has a thriving recreational cannabis market, with numerous dispensaries operating throughout the state. It’s important to be aware of and comply with the state’s regulations on possession, consumption, and purchase to ensure responsible and legal use.

Medical marijuana is not legal in Indiana. While some neighboring states have comprehensive medical cannabis programs, Indiana law does not provide legal protection for the use of marijuana for medical purposes. 

Key Takeaways:

• No Medical Marijuana Program: Indiana does not have a medical marijuana program, and there is no system for obtaining a medical marijuana card.
• CBD Oil with Low THC: Indiana law does allow the use of CBD oil with low THC content (less than 0.3%) for patients with treatment-resistant epilepsy. This law was passed in 2018 and allows for the purchase, possession, and sale of low-THC CBD products. 
• Penalties for Possession: Possession of marijuana is a misdemeanor in Indiana, even for small amounts. 
• Efforts to Legalize: There have been legislative efforts to legalize medical marijuana in Indiana, but as of December 2024, none have been successful. 

It’s important to be aware of and respect Indiana’s marijuana laws to avoid potential legal consequences.

Other Important Information

• Hemp-derived THC products: According to the Indiana Attorney General, most THC variants, including Delta-8 THC, Delta-10 THC, THC-O, and THC-P, are considered controlled substances. 
• Smokable hemp: Although smokable hemp exists in a gray area federally, Indiana law explicitly outlaws it. 
• Penalties: Penalties for violating Indiana’s cannabis laws can include jail time, fines, and suspension of driving privileges. 

The Bottom Line

Cannabis laws in Indiana are complex, and the legality of different cannabis products can be confusing. It’s important to be aware of the specific laws and regulations in place to avoid potential penalties.

Iowa has a medical program for patients with qualifying debilitating medical conditions that allows the legal sale and possession of cannabis. Allowed modes of consumption are oral and topical forms, including tablets, tinctures, nebulizable inhalable forms, suppositories, and vaporization. 

Iowa has a Medical Cannabidiol Program that allows patients with the following qualifying conditions to possess and use medical cannabis:

• Cancer 
• Chronic pain 
• HIV/AIDS 
• Crohn’s disease 
• Post-traumatic stress disorder (PTSD) 
• Amyotrophic Lateral Sclerosis (ALS) 
• Nausea or severe vomiting 
• Cachexia or severe wasting syndrome 
• Parkinson’s disease 
• Ulcerative colitis 
• Corticobasal degeneration 
• Multiple sclerosis with severe and persistent muscle spasms 
• Seizures 
• Terminal illness with a probable life expectancy of under one year 
• Severe, intractable autism with self-injurious or aggressive behaviors 

Key Features of the Program:

• Enrollment: Patients must obtain a written certification from their primary care provider, who must be a doctor (MD or DO), a podiatrist, a physician’s assistant, an advanced registered nurse practitioner, or an advanced practice registered nurse. Patients must be permanent residents of the state. 
• Caregivers: Caregivers can enroll to help patients obtain and use medical cannabis. They must be residents of Iowa or a bordering state and at least 18 years old. 

Registration Card Fees:

• Patient card: $100 (or $25 for patients receiving social security disability benefits, supplemental security insurance payments, or enrolled in a medical assistance program) 
• Caregiver card: $25 

Medical Cannabidiol Board: This board has the power to add new conditions to the state program. 

Business Licenses and Regulations: Two manufacturers are licensed under the law to supply low-THC cannabis oils to up to five licensed dispensaries. 

Cannabis Oil Limits:

• Raw cannabis is not permitted. 
• Smoking is not permitted. 
• Patients can obtain cannabis preparations containing no more than 4.5 grams of THC every 90 days. 
• A practitioner can allow a greater amount of THC if the patient has a terminal illness with a life expectancy of under a year or if the practitioner determines that 4.5 grams is insufficient for the patient. 

Out-of-State Reciprocity: Patients visiting Iowa from another state who are registered with a medical cannabis program in their home state can possess and consume cannabis in Iowa, but they cannot purchase it in Iowa. 

Additional Considerations:

• Employers and property owners can prohibit cannabis use on their property. 
• Health care is not required to cover medical cannabis costs. 

In Iowa, possession of marijuana for recreational use is illegal. If you are caught with marijuana, you may face a fine of up to $1,000 and up to six months in jail, even for a first offense. In addition, there is a mandatory minimum of two days in jail for any drug conviction, including marijuana possession.  

The severity of the charge can be increased depending on factors such as prior convictions for drug possession or violating other related laws. If you have two or more prior convictions, your first offense for marijuana possession could become a Class D felony.  

Even if it is your first offense for marijuana possession, the court will sentence you to at least 48 hours in jail. However, the judge has the discretion to suspend the mandatory minimum sentence and place you on probation instead. If you are on probation for a drug crime, you will be subject to random drug testing.  

In some cases, you may be eligible for a deferred judgment if convicted. This means that if you complete the terms of your probation, the conviction will not appear on your criminal record.  

Medical marijuana is not yet legal in Kansas. However, there is a very limited exception for the use of low-THC CBD oil, and there are ongoing efforts to legalize a comprehensive medical marijuana program.

Current Situation:

• Low-THC CBD Oil: In 2019, Kansas enacted “Claire and Lola’s Law” (SB 28), which allows the use of CBD oil with low THC content (no more than 5%) for patients with certain debilitating medical conditions. This provides an affirmative defense for qualified patients, meaning they cannot be convicted if they meet the requirements, but it does not prevent arrest or court proceedings.
• No Medical Marijuana Cards or Dispensaries: Kansas does not have a system for issuing medical marijuana cards or a program for licensing dispensaries. Patients must obtain low-THC CBD oil from other sources that comply with the legal limits. 

Proposed Legislation:

• Ongoing Efforts: There have been multiple attempts to legalize medical marijuana in Kansas, with bills introduced in recent legislative sessions. These bills typically include a list of qualifying conditions, such as cancer, chronic pain, epilepsy, and PTSD. 
• Senate Obstacles: While the Kansas House of Representatives has approved medical marijuana legislation in the past, the Senate has been a roadblock to progress. 

Key Takeaways:

• As of December 2024, only low-THC CBD oil is legal for limited medical use in Kansas.
• There is significant public and political support for medical marijuana legalization, but it has not yet been enacted. 
• It’s important to stay informed about any legislative updates and the progress of medical marijuana legalization efforts in Kansas.

Possession of marijuana:

• A first offense for possession of any amount of marijuana is a misdemeanor punishable by up to 6 months in jail and a $1,000 fine. 
• A second offense for possessing any amount can result in a fine of up to $100,000 and a sentence of up to 3.5 years. 

Sale or distribution of marijuana:

• Penalties vary depending on the amount of marijuana involved, ranging from a minimum of 10 months probation to a maximum of 204 months imprisonment and fines ranging from $300,000 to $500,000. 

Cultivation of marijuana:

• Growing marijuana is also illegal in Kansas, with penalties varying depending on the number of plants. 

Hash & Concentrates:

• Penalties for hashish are the same as for marijuana. 

Paraphernalia:

• Paraphernalia used to store, ingest, or cultivate less than five marijuana plants is a misdemeanor punishable by a maximum of one year imprisonment and a fine not to exceed $2,500. 
• Paraphernalia used to cultivate five marijuana plants or more is a felony punishable by five months probation and up to 17 months imprisonment and a fine not to exceed $100,000. 

Miscellaneous:

• Kansas has a marijuana tax stamp law enacted. 
• Those who possess marijuana are legally required to affix state-issued stamps to the contraband. 
• Failure to do so may result in a fine and/or a criminal sanction. 
• It’s important to be aware of the specific laws and regulations in place to avoid potential penalties.

Kentucky has a complex history with medical cannabis, but it is now officially legal. Here’s a summary of the key aspects: 

Legalization:

• Executive Order (2022): In November 2022, Governor Andy Beshear issued an executive order legalizing the possession of up to 8 ounces of medical cannabis purchased legally in another state for those with certain qualifying conditions. This order did not establish a medical marijuana card program or in-state access. 
• Senate Bill 47 (2023): In March 2023, the Kentucky legislature passed Senate Bill 47, legalizing medical cannabis with a comprehensive program. This law went into effect on January 1, 2025. 

Eligibility Requirements: 

• Be a Kentucky resident.
• Be at least 18 years old (minors need parental/guardian consent). 
• Have a qualifying medical condition.

Qualifying Conditions: 

• Any type or form of cancer
• Chronic, severe, intractable, or debilitating pain
• Epilepsy or any other intractable seizure disorder 
• Multiple sclerosis, muscle spasms, or spasticity 
• Chronic nausea or cyclical vomiting syndrome 
• Post-traumatic stress disorder (PTSD) 
• Any other medical condition or disease for which the Kentucky Center for Cannabis finds medical cannabis appropriate

Application Process: 

1. Obtain a written certification from a registered medical cannabis practitioner.
2. Submit an application to the state.

Physician Requirements:

• Physicians must be authorized medical cannabis practitioners.

Possession Limits:

• Up to 8 ounces of medical cannabis purchased legally in another state.

Other Relevant Information:

• As of January 1, 2025, licensed dispensaries have not yet opened in Kentucky.
• Smoking medical cannabis is prohibited.
• Raw plant material, edibles, oils, tinctures, and vapes are the allowable medical cannabis products.
• Local governments can prohibit cannabis operations or put the matter to a public vote.

Recreational cannabis is illegal in Kentucky. Possession of any amount of marijuana for non-medical purposes is a criminal offense and can result in fines and potential jail time. 

Key Takeaways:

• No Legal Recreational Use: Despite the legalization of medical cannabis, recreational use remains prohibited.
• Penalties: Penalties for marijuana possession vary depending on the amount and prior convictions. 
• Medical Use Allowed: Kentucky has legalized medical cannabis, with a program set to be operational in 2025. 
• CBD Oil: Kentucky also allows the use of CBD oil with low THC content (less than 0.3%) for certain medical conditions.

It’s important to be aware of and respect Kentucky’s marijuana laws to avoid potential legal consequences.

Industrial Hemp: Hemp was first cultivated for fiber in Kentucky near Danville in 1775, and cultivation there continued into the 20th century even though cultivation had diminished in other states. 

Louisiana legalized medical cannabis in 2015 and has been steadily expanding the program since then. The program is overseen by the Louisiana Department of Health (LDH). 

Eligibility Requirements:

• Be a Louisiana resident.
• Have a debilitating medical condition. 
• Obtain a physician’s recommendation. 

Qualifying Conditions – Louisiana has a broad approach to qualifying conditions. Patients qualify if they have any condition their doctor considers debilitating. Some specifically listed conditions include: 

• Cancer
• HIV/AIDS 
• Cachexia or wasting syndrome 
• Seizure disorders (including epilepsy) 
• Spasticity 
• Crohn’s disease 
• Muscular dystrophy 
• Severe muscle spasms 
• Glaucoma 
• Parkinson’s disease 
• PTSD 
• Multiple sclerosis 
• Intractable pain 
• Alzheimer’s 
• ALS 
• Traumatic brain injury 
• Autism (in some cases) 

Application Process:

1. Obtain a physician’s recommendation.
2. Register with a licensed dispensary.
3. Present a state-issued ID when purchasing.

Physician Requirements:

• Physicians must be board-certified in Louisiana. 

Possession Limits:

• Up to 2.5 ounces of cannabis flower every 14 days.

Other Relevant Information:

• Louisiana does not issue a traditional medical marijuana card.
• Smoked and vaporized cannabis are allowed.
• Home cultivation is not permitted.
• There are no employment protections for medical cannabis patients.
• The law is set to expire on January 1, 2025, unless re-enacted by the legislature.

Recreational cannabis is illegal in Louisiana.

However, possession of small amounts of marijuana (14 grams or less) has been decriminalized statewide. This means that instead of facing criminal charges, individuals caught with this amount will receive a fine of no more than $100.

Key Takeaways:

• No Legal Recreational Use: Possessing, using, cultivating, or selling marijuana for recreational purposes is against the law. 
• Decriminalization for Small Amounts: Possession of 14 grams or less is decriminalized, but it is still a finable offense. 
• Medical Marijuana is Legal: Louisiana has a medical marijuana program for qualified patients with debilitating conditions.
• Penalties: Possession of more than 14 grams and illegal distribution still carry harsh penalties, including potential jail time. 

It’s important to be aware of and respect Louisiana’s marijuana laws to avoid potential legal consequences.

Maine has a well-established medical cannabis program, first legalized in 1999 and expanded in 2009 and 2018. The program is overseen by the Office of Cannabis Policy (OCP).

Eligibility Requirements:

• Be at least 21 years old. 
• Be a Maine resident.
• Have a medical professional’s certification. 

Qualifying Conditions:

• Maine has no specific list of qualifying conditions.
• Physicians have the discretion to recommend medical cannabis for any condition they believe it will benefit. 

Application Process:

1. Obtain a patient certification from a licensed medical provider (physician, nurse practitioner, or physician assistant). 
2. Maine does not issue medical marijuana cards; the certification is sufficient to access medical cannabis.

Possession Limits:

• Up to 2.5 ounces of usable marijuana. 
• Patients can possess all the marijuana they have cultivated themselves.

Other Relevant Information:

• Home cultivation is allowed (up to 3 mature plants, 12 immature plants, and unlimited seedlings).
• Medical cannabis is purchased at licensed dispensaries.
• Delivery services are available. 
• Maine has reciprocity with other states. 
• There are no employment protections for qualifying patients.

Maine legalized recreational cannabis in 2016. Retail sales began in October 2020.

Legal Age: 21 years or older.

Possession Limit:

• Up to 2.5 ounces of usable cannabis.
• 5 grams of that total may be marijuana concentrate.

Home Cultivation:

• Adults 21 and older can cultivate up to 6 flowering marijuana plants, 12 immature plants, and unlimited seedlings. 
• Adults may possess all the marijuana they have grown themselves.

Consumption Restrictions:

• Consumption is permitted in private residences and on private property. 
• Public consumption is a civil violation with a fine of up to $100. 
• Driving under the influence of cannabis is illegal. 

Where to Purchase:

• Cannabis can be purchased at licensed adult-use retail stores. 
• Medical and recreational marijuana may not be sold at the same store. 

Maine has a thriving recreational cannabis market with numerous dispensaries throughout the state. It’s important to be aware of and follow the state’s regulations on possession, cultivation, and consumption to ensure responsible and legal use. 

Maryland legalized medical cannabis in 2013, with the program becoming operational in 2017. The Maryland Medical Cannabis Commission (MMCC) oversees the program.

Eligibility Requirements: 

• Be a Maryland resident.
• Be at least 18 years old (or a minor with an adult caregiver).
• Have a qualifying medical condition.

Qualifying Conditions: 

• Cachexia
• Anorexia
• Wasting syndrome
• Severe or chronic pain
• Severe nausea
• Seizures
• Severe or persistent muscle spasms
• Glaucoma
• Post-traumatic stress disorder (PTSD)
• Another chronic medical condition that is severe and for which other treatments have been ineffective 

Application Process: 

1. Register with the MMCC.
2. Obtain a written certification from a provider registered with the MMCC.

Physician Requirements: 

• Providers must be registered with the MMCC.
• They must have a bona fide provider-patient relationship with the patient.
• They must approve medical cannabis as a treatment option for a qualifying medical condition.

Possession Limits:

• Registered medical marijuana patients in Maryland can possess up to a 30-day supply of medical cannabis, as determined by their recommending physician.

Other Relevant Information: 

• Medical cannabis is purchased at licensed dispensaries.
• As of July 1, 2023, existing licensed dispensaries can convert their licenses for dual medical and adult-use sales.
• Only registered, certified Maryland medical cannabis patients and caregivers can purchase products under the parameters of Maryland’s Medical Cannabis Program.

Maryland legalized recreational cannabis in November 2022 when voters approved Question 4. Possession became legal for adults 21 and older in July 2023, and retail sales began at the same time.

Current Laws:

• Legal Age: 21 years or older
• Possession Limit: Up to 1.5 ounces of cannabis flower
• Home Cultivation: Adults 21 and older can cultivate up to two cannabis plants at home.
• Consumption: Cannabis consumption is permitted in private residences, but property owners may prohibit it. Public consumption is illegal.
• Sales: Cannabis can be purchased at licensed dispensaries that were previously medical-only. These dispensaries converted their licenses for dual medical and adult-use sales by July 1, 2023.
• Out-of-State Residents: Adults 21 and older with valid, government-issued ID can purchase adult-use cannabis from licensed dispensaries in Maryland, even if they are not residents.

Key Takeaways:

• Maryland has a regulated recreational cannabis market.
• Possession and home cultivation are allowed within limits.
• Public consumption is prohibited.
• Driving under the influence of cannabis remains illegal.
• It’s important to be aware of and follow the state’s regulations on possession, cultivation, and consumption to ensure responsible and legal use.

The program is operational and overseen by the Massachusetts Cannabis Control Commission (CCC).

Eligibility Requirements: 

• Be a Massachusetts resident.
• Be at least 18 years old (minors need parental/guardian consent and certification by two healthcare providers).
• Have a qualifying medical condition.

Qualifying Conditions: 

• Cancer
• Glaucoma 
• HIV/AIDS 
• Hepatitis C 
• ALS 
• Crohn’s disease 
• Parkinson’s disease 
• Multiple sclerosis 
• Other debilitating conditions as determined in writing by a certifying physician 

Application Process: 

1. Obtain a written certification from a healthcare provider.
2. Register with the CCC online.

Possession Limits: 

• Up to a 60-day supply of medical marijuana. 
• 10 ounces of usable marijuana.

Other Relevant Information: 

• Home cultivation is allowed (up to 12 mature and 12 immature plants).
• Medical marijuana is purchased at licensed Medical Marijuana Treatment Centers (MTCs).
• Out-of-state residents cannot purchase medical marijuana in Massachusetts.

Retail sales began in 2018, making it one of the first states on the East Coast with a legal adult-use market. 

Legal Age: 21 years or older.

Possession Limit:

• Up to 1 ounce of marijuana flower
• Up to 5 grams of marijuana concentrate 

Home Cultivation:

• Adults 21 and older can cultivate up to 6 cannabis plants at home, or up to 12 plants for two or more adults living in the same residence.
• Plants must be kept out of public view and in a locked space. 

Consumption Restrictions:

• Public consumption is generally prohibited. 
• Driving under the influence of cannabis is illegal. 

Where to Purchase:

• Cannabis can be purchased at licensed retail stores. 

Massachusetts has a well-established recreational cannabis market, with numerous dispensaries operating throughout the state. It’s important to be aware of and comply with the state’s regulations on possession, cultivation, and consumption to ensure responsible and legal use.

Michigan legalized medical marijuana in 2008 with the Michigan Medical Marihuana Act. The program has been operational since 2016 and is overseen by the Marijuana Regulatory Agency (MRA).

Eligibility Requirements: 

• Be a Michigan resident.
• Be at least 18 years old. 
• Have a qualifying debilitating medical condition. 

Qualifying Conditions – Michigan has a comprehensive list of qualifying conditions, including:

• Alzheimer’s disease 
• Amyotrophic Lateral Sclerosis (ALS) 
• Arthritis 
• Autism 
• Cachexia or wasting syndrome 
• Cancer 
• Cerebral palsy 
• Chronic pain 
• Crohn’s disease 
• Glaucoma 

Application Process: 

1. Obtain a physician’s certification.
2. Register with the Michigan Medical Marihuana Program (MMMP) online or by mail. 

Physician Requirements: 

• Physicians must be licensed in Michigan. 
• They must have a bona fide patient-physician relationship with the patient.

Possession Limits: 

• Patients can possess up to 2.5 ounces of usable marijuana. 

Other Relevant Information: 

• Home cultivation is allowed (up to 12 plants). 
• Medical marijuana is purchased at licensed provisioning centers (dispensaries).
• Patients can designate a primary caregiver to assist them.

Michigan legalized recreational cannabis in 2018 with the passage of Proposal 1. The Michigan Regulation and Taxation of Marihuana Act (MRTMA) governs the recreational market, and sales began in December 2019. 

Legal Age: 21 years or older.

Possession Limits:

• In public: Up to 2.5 ounces of cannabis 
• At home: Up to 10 ounces of cannabis

Home Cultivation:

• Adults 21 and older can cultivate up to 12 cannabis plants at home for personal use. 
• Plants must be kept in an enclosed, locked space not visible from public view.

Consumption Restrictions:

• Public consumption is generally prohibited.
• Driving under the influence of cannabis is illegal. 
• On-site consumption is allowed at licensed facilities and temporary events if permitted by local governments.

Where to Purchase:

• Cannabis can be purchased at licensed retail stores.

Other Relevant Information:

• Michigan has a social equity program to promote participation in the cannabis industry by individuals from communities disproportionately impacted by cannabis prohibition.
• The state has expungement laws to clear past marijuana convictions from criminal records.

Minnesota legalized medical cannabis in 2014, with the first dispensary opening in 2015. The program has evolved over time, with recent expansions to qualifying conditions and the allowance of whole-plant cannabis.

Eligibility Requirements:  

• Be a Minnesota resident.
• Be certified by a state-licensed cannabis doctor.

Qualifying Conditions:

• Alzheimer’s disease
• Amyotrophic lateral sclerosis (ALS)
• Autism spectrum disorder
• Cancer (with severe pain, nausea, or wasting)
• Chronic motor or vocal tic disorder
• Chronic pain
• Glaucoma
• HIV/AIDS
• Inflammatory bowel disease
• Sickle cell disease
• Terminal illness (with less than one year to live and severe pain, nausea, or wasting)
• Tourette’s syndrome

Application Process:

1. Obtain certification from a participating healthcare provider.
2. Register with the Minnesota Department of Health.

Other Relevant Information:

• Patients 21 and older can access dried raw cannabis (flower).
• Home cultivation is not allowed.
• Medical cannabis must be purchased from a registered manufacturer.
• Caregiver provisions have been expanded.

Minnesota legalized recreational cannabis in May 2023, with possession and use becoming legal for adults 21 and older on August 1, 2023. However, retail sales of recreational cannabis are not expected to begin until the first quarter of 2025. 

Current Laws:

Legal Age: 21 years or older.

Possession Limit:

• In public: 2 ounces of cannabis flower, 8 grams of concentrate, and 800 milligrams of THC in edible products.
• At home: 2 pounds of cannabis flower. 

Home Cultivation:

• Adults 21 and older can cultivate up to 8 cannabis plants at home (with no more than 4 flowering at once). 
• Plants must be grown in an enclosed, locked space not visible from the public. 

Consumption Restrictions:

• Smoking or vaping cannabis is prohibited where tobacco smoking is prohibited.
• Consumption is illegal in motor vehicles, public schools, on school buses, in state prisons, and on federal property.
• Cannabis cannot be smoked or vaped where a minor could inhale it.

Gifting: Adults 21 and older can gift each other cannabis up to the legal possession limit.

Sales: Retail sales are not yet legal, but the Office of Cannabis Management is working to establish a regulatory framework for licensed businesses. 

Key Takeaways:

• While recreational use is legal, the market is not yet fully operational. 
• Possession, home cultivation, and gifting are allowed within limits. 
• Public consumption is restricted, and driving under the influence of cannabis remains illegal. 

It’s important to stay updated on the development of the recreational cannabis market in Minnesota.

Mississippi legalized medical cannabis in 2022 with the Mississippi Medical Cannabis Act (MMCA). The program allows qualified patients with debilitating medical conditions to use medical cannabis with a doctor’s certification. 

Eligibility Requirements: 

• Be at least 18 years old. 
• Have a qualifying medical condition. 
• Hold a written certification from a doctor. 
• Be a Mississippi resident with proof of residency. 

Qualifying Conditions:

• Cancer
• Parkinson’s disease 
• Huntington’s disease 
• Muscular dystrophy 
• Glaucoma 
• Spastic quadriplegia 
• HIV/AIDS 
• Hepatitis 
• ALS
• Crohn’s disease 
• Ulcerative colitis 
• Sickle-cell anemia 
• Alzheimer’s disease 
• Agitation of dementia 
• PTSD 
• Autism
• Pain refractory to appropriate opioid management 
• Diabetic/peripheral neuropathy 
• Spinal cord disease or severe injury
• Cachexia or wasting syndrome 
• Chronic pain 
• Severe or intractable nausea 
• Seizures 
• Severe and persistent muscle spasms 

Application Process: 

• Visit a physician participating in the medical cannabis program to be certified for medical cannabis use. 
• The medical professional will determine whether you have a qualifying medical condition and, if so, register your certification for medical cannabis use with the Mississippi Medical Cannabis Program. 

Possession Limits:

• Patients may not purchase more than 6 Medical Cannabis Equivalency Units (MCEUs) in a week (21 grams). 
• Patients may not purchase more than 24 MCEUs in a month (84 grams). 
• Patients may not possess more than 28 MCEUs at one time (98 grams). 

Other Relevant Information:

• A dispensary cannot sell cannabis flower or trim consisting of more than 30% total THC. 
• Flower cannot exceed 30% THC. 
• Tinctures, oils, and concentrates may not exceed 60% THC. 
• Home cultivation is not permitted. 
• The Mississippi Medical Cannabis Act has no numerical cap on business licenses.
• Dispensaries may be established in commercially zoned areas.

Recreational cannabis is illegal in Mississippi. Possession of small amounts was decriminalized in 1978, but any amount of marijuana use remains a misdemeanor.

While Mississippi has a medical marijuana program, any recreational use, possession, or cultivation is against the law. 

Penalties:

• Penalties for recreational marijuana offenses can include fines and jail time. 

Previous Attempts at Legalization:

• Voters approved a medical marijuana initiative in 2020, but it was overturned by the Supreme Court due to a flaw in the ballot initiative process. 
• In 2022, voters rejected Issue 4, which would have legalized recreational marijuana.

It’s important to be aware of and respect Mississippi’s marijuana laws to avoid potential legal consequences.

Missouri legalized medical marijuana in 2018 with the passage of Amendment 2. The program is operational and overseen by the Missouri Department of Health and Senior Services (DHSS).

Eligibility Requirements: 

• Be a Missouri resident.
• Have a qualifying medical condition.

Qualifying Conditions – Missouri has a broad list of qualifying conditions, including:

• Cancer
• Epilepsy 
• Glaucoma 
• Intractable migraines unresponsive to other treatment
• A chronic medical condition that causes severe, persistent pain or persistent muscle spasms, including those associated with multiple sclerosis, seizures, Parkinson’s disease, and Tourette’s syndrome 
• Debilitating psychiatric disorders, including PTSD, if diagnosed by a state-licensed psychiatrist 
• HIV/AIDS 
• A chronic medical condition that is normally treated with prescription medications that could lead to physical or psychological dependence, when a physician determines that medical use of marijuana could be effective in treating that condition and would serve as a safer alternative to the prescription medication 
• A terminal illness 
• Any other chronic, debilitating, or other medical condition, including, but not limited to, hepatitis C, amyotrophic lateral sclerosis, inflammatory bowel disease, Crohn’s disease, Huntington’s disease, autism, neuropathies, sickle cell anemia, agitation of Alzheimer’s disease, cachexia, and wasting syndrome 

Application Process: 

• Obtain a physician certification from a licensed physician (MD or DO) or a nurse practitioner (NP) who is active and in good standing in Missouri.
• Apply online through the DHSS website.

Physician Requirements:

• Physicians must be licensed in Missouri and in good standing. 
• They must complete and sign the physician certification form confirming that the applicant qualifies for medical marijuana treatment.

Possession Limits:

• Up to 6 ounces may be purchased per 30 days.
• Other Relevant Information:
• Home cultivation is allowed (up to six flowering plants). 
• Medical marijuana is purchased at licensed dispensaries. 
• Delivery services are available.
• Caregivers are allowed. The primary caregiver must be 21 years of age and must be registered with the Department of Health.

Missouri legalized recreational cannabis in November 2022 with the passage of Amendment 3. Possession became legal for adults 21 and older in December 2022, and the first legal sales began in February 2023.

Legal Age: 21 years or older.

Possession Limit:

• Up to 3 ounces of dried, unprocessed marijuana, or its equivalent.

Home Cultivation:

• Adults 21 and older can cultivate up to 6 flowering marijuana plants, 6 nonflowering marijuana plants, and 6 clones (marijuana plants that are not flowering) at their residence.
• Cultivation must be in an enclosed, locked space.

Consumption Restrictions:

• Public consumption is illegal.
• Driving under the influence of cannabis is illegal.

Where to Purchase:

• Cannabis can be purchased at licensed dispensaries.

Other Relevant Information:

• Amendment 3 also expunged non-violent marijuana offenses from criminal records for adults.
• There is a 6% tax on recreational cannabis sales, in addition to any applicable local taxes.

If you’d like to learn more about the specifics, you can visit the official Missouri Department of Health and Senior Services website for the most up-to-date information: http://cannabis.mo.gov

Montana legalized medical marijuana in 2004 with the passage of Initiative 148. The program is operational and overseen by the Montana Department of Public Health and Human Services (DPHHS).

Eligibility Requirements: 

• Be a Montana resident.
• Be at least 18 years old (or have parental/guardian consent if younger).
• Have a debilitating medical condition.

Qualifying Conditions: 

• Cancer
• Glaucoma
• HIV/AIDS
• Cachexia or wasting syndrome
• Intractable nausea or vomiting
• Severe chronic pain
• Intractable seizures
• Severe or persistent muscle spasms
• Central nervous system disorders resulting in chronic, painful spasticity or muscle spasms
• Painful peripheral neuropathy
• Intractable neuropathic pain
• Post-traumatic stress disorder (PTSD)

Application Process: 

• Obtain a written certification from a Montana-licensed physician.
• Apply online through the Montana TransAction Portal (TAP).
• Submit the required documentation, including a photo ID, physician’s statement, and proof of residency.

Physician Requirements: 

• Physicians must be licensed in Montana.
• They must certify that the patient has a qualifying condition and might benefit from medical marijuana.

Possession Limits: 

• 1 ounce of usable marijuana.

Other Relevant Information: 

• Home cultivation is allowed (up to 4 mature plants and 12 seedlings).
• Medical marijuana is purchased at licensed providers.
• Caregivers are allowed.
• Montana has reciprocity with other states.

Montana legalized recreational cannabis in January 2022 after voters approved Initiative 190 in 2020 [49. Here’s a summary of the key aspects of Montana’s recreational cannabis laws:

Legal Age: 21 years or older  

Possession Limit:

• Up to 1 ounce of marijuana flower, or its equivalent in concentrates or edibles [49 

Purchase Limit:

• Adults 21 and older can purchase up to 1 ounce of marijuana flower, or 8 grams of concentrate, or 800 milligrams of edibles per transaction . 

Home Cultivation:

• Adults 21 and older can cultivate up to two mature marijuana plants and two seedlings in a private, locked area out of public view [49. 

Where to Purchase:

• Recreational marijuana is sold at licensed dispensaries in counties that have authorized it (“green counties”) . 

Consumption Restrictions:

• Consuming marijuana in public spaces, including indoors and outdoors, is prohibited . 
• Driving under the influence of marijuana is illegal . 
• Consuming marijuana on federal lands, including national parks, is prohibited . 

It’s important to consume cannabis responsibly and be aware of local regulations, as counties may have specific rules regarding marijuana use.

This means that: 

Patients cannot legally possess or use marijuana for medical purposes.

There is no medical marijuana program or system for obtaining a medical marijuana card.

Out-of-state medical marijuana cards are not recognized.

However, there are ongoing efforts to legalize medical marijuana in Nebraska. 

The Nebraska Medical Cannabis Regulation Initiative is a 2024 ballot measure that would legalize medical marijuana for qualified patients with certain debilitating medical conditions . 

If passed, this initiative would establish a regulated system for medical cannabis cultivation, processing, and dispensing. 

Some of the qualifying conditions listed in the initiative include ALS, autism, cancer, Crohn’s disease, epilepsy, glaucoma, and PTSD . 

It’s important to stay informed about the progress of this initiative and any future legislative efforts to legalize medical marijuana in Nebraska.

Possession of small amounts of marijuana (less than 1 ounce) is decriminalized, meaning it is treated as a civil infraction with a fine rather than a criminal offense . 

However, possession of larger amounts, as well as selling, manufacturing, or distributing marijuana, can result in more severe penalties, including jail time . 

While a ballot measure to legalize medical marijuana passed in November 2024, it faces legal challenges . There is also a separate legislative effort to legalize recreational marijuana in Nebraska . The status of cannabis laws in Nebraska is subject to change, so it’s essential to stay updated on any developments.

Nevada has a well-established medical marijuana program, having legalized medical cannabis in 2000 and starting dispensary sales in 2015. Here’s a summary of the key aspects: 

Eligibility Requirements: 

• Be a Nevada resident.
• Have a qualifying medical condition.

Qualifying Conditions: 

• Acquired Immune Deficiency Syndrome (AIDS)
• Post-Traumatic Stress Disorder (PTSD)
• Cancer
• Glaucoma
• Cachexia
• Severe pain
• Severe nausea
• Seizures (including those caused by epilepsy)
• Persistent muscle spasms (including those caused by multiple sclerosis) 

Application Process: 

• Request an application from the Nevada Division of Public and Behavioral Health (DPBH).
• Obtain a physician’s recommendation.
• Complete the application and submit it to the DPBH with the required documentation (including proof of residency and a physician’s statement) and the application fee.

Physician Requirements: 

• Physicians must be Nevada board-certified and in good standing.
• They must provide a statement confirming the patient has a qualifying condition and might benefit from medical marijuana.

Costs: 

• $25 application fee for the application packet.
• $75 registration fee.

Possession Limits: 

• Medical marijuana cardholders can possess up to 2.5 ounces of usable marijuana.
• Home cultivation is allowed for cardholders under certain conditions, such as living more than 25 miles from a dispensary or needing a specific strain not available at dispensaries.

Nevada legalized recreational cannabis in 2016, with legal sales beginning in 2017. Here’s a summary of the key laws:

Legal Age: 21 years or older  

Possession Limit:

• Up to 1 ounce of marijuana flower
• Up to ⅛ ounce of cannabis concentrate

Consumption Restrictions:

• It is illegal to consume recreational cannabis in public places . This includes both indoor and outdoor spaces. 
• Consumption is permitted in private residences, but property owners may prohibit it . 
• Driving under the influence of marijuana is illegal. 

Home Cultivation:

• Adults 21 and older can cultivate up to six plants at home if they live more than 25 miles from a licensed dispensary . 

Where to Purchase:

• Recreational marijuana can be purchased at licensed dispensaries . 

Nevada has a robust recreational cannabis market, with dispensaries located throughout the state, particularly in Clark County (Las Vegas), Washoe County (Reno), and Carson City . It’s important to be aware of and follow the state’s regulations on possession and consumption to ensure responsible and legal use. 

New Hampshire legalized medical marijuana in 2013, establishing the Therapeutic Cannabis Program (TCP). Here’s a summary of the key aspects: 

Eligibility Requirements: 

• Be at least 18 years old and a New Hampshire resident.
• Have a qualifying medical condition.
• Certification from a physician or advanced practice registered nurse.

Qualifying Conditions: 

• Autism spectrum disorder (for patients 21 and older)
• Moderate to severe chronic pain
• Severe pain that hasn’t responded to other treatments
• PTSD
• Alzheimer’s disease
• Amyotrophic lateral sclerosis (ALS)
• Cancer
• Chronic pancreatitis

Physician Requirements: 

• The provider must be primarily responsible for treating the patient’s qualifying condition.
• The provider must be licensed in New Hampshire, Vermont, Maine, or Massachusetts. 

Possession Limits: 

• Up to 2 ounces of usable marijuana.

Other Relevant Information: 

• Home cultivation is not permitted.
• Medical marijuana is purchased at licensed Alternative Treatment Centers (ATCs).
• Delivery services are available.
• New Hampshire has reciprocity with other states.
• As of December 2024, New Hampshire is the only state in New England that has not legalized recreational cannabis.

While medical marijuana is legal in New Hampshire, recreational marijuana remains illegal.

However, possession of small amounts of marijuana (up to ¾ ounce) has been decriminalized since 2017. This means that instead of facing criminal charges, individuals caught with this amount will receive a civil violation with a fine. 

Despite decriminalization and public support for legalization, New Hampshire is currently the only state in New England where recreational cannabis use is not permitted. There have been legislative efforts to legalize recreational marijuana, but as of December 2024, none have been successful.

Medical Cannabis in New Jersey

New Jersey has a comprehensive medical cannabis program, established in 2010 and significantly expanded in recent years. 

Eligibility Requirements:

• Be a New Jersey resident.
• Be at least 18 years old (minors need a caregiver who is a parent or legal guardian). 
• Be diagnosed with a qualifying medical condition by a healthcare practitioner registered with the program. 

Qualifying Conditions:

• Amyotrophic lateral sclerosis (ALS) 
• Anxiety 
• Cancer
• Chronic pain (including visceral pain) 
• Dysmenorrhea (menstrual cramps) 
• Glaucoma 
• Inflammatory bowel disease (IBD), including Crohn’s disease 
• Intractable skeletal muscular spasticity 
• Migraines 
• Multiple sclerosis (MS)
• Muscular dystrophy 
• Opioid use disorder 
• Positive status for Human Immunodeficiency Virus (HIV) or Acquired Immune Deficiency Syndrome (AIDS) 
• Post-Traumatic Stress Disorder (PTSD) 
• Seizure disorder, including epilepsy 
• Terminal illness (if a physician has determined the patient will die within one year) 
• Tourette syndrome 

Application Process:

1. Obtain a medical cannabis recommendation from a registered healthcare practitioner.
2. Register with the New Jersey Medicinal Cannabis Program (NJMCP) online. 
3. Upload required documents, including proof of residency, a government-issued ID, and a recent photo.

Physician Requirements:

• Physicians must be registered with the NJMCP. 
• They must have a bona fide relationship with the patient, meaning an ongoing responsibility for their care. 
• They must certify that the patient has a qualifying condition and may benefit from medical cannabis. 

Costs:

• $200 for the initial application.
• $100 for annual renewals.
• Reduced fees are available for veterans and seniors. 

Possession Limits:

• Patients can purchase up to 3 ounces of medical cannabis per month.
• This limit can be increased with physician approval.

Other Relevant Information:

• Home cultivation is not permitted. 
• Medical cannabis is purchased at licensed Alternative Treatment Centers (ATCs). 
• Patients can designate caregivers to purchase cannabis on their behalf. 

New Jersey also has a legal adult-use cannabis program, but there are still benefits to having a medical card, such as lower costs and access to a wider range of products and services.

The Compassionate Use Medical Cannabis Act allows for the addition of new qualifying conditions through a petition process.

Recreational Cannabis in New Jersey

New Jersey legalized recreational cannabis in 2020, with sales beginning in April 2021. Here’s a summary of the key recreational cannabis laws:

Legal Age: 21 years or older.

Possession Limit: Up to 6 ounces of cannabis.

Purchase Limits: While there’s no daily purchase limit, possession is limited to 6 ounces at a time.

Home Cultivation: Home cultivation is not permitted for recreational use.

Consumption Restrictions:

• Consuming cannabis in public places is generally prohibited.
• Driving under the influence of cannabis is illegal. 
• Employers are prohibited from discriminating against employees for off-duty cannabis use, with some exceptions.  

New Jersey has a growing recreational cannabis market, with numerous dispensaries operating throughout the state. It’s important to be aware of and comply with the state’s regulations on possession, consumption, and purchase to ensure responsible and legal use. 

Medical Cannabis in New Mexico

New Mexico has a robust medical cannabis program, first established in 2007 and expanded in recent years.

Eligibility Requirements: 

• Be a New Mexico resident.
• Have a qualifying medical condition.

Qualifying Conditions: 

• Alzheimer’s disease 
• Amyotrophic Lateral Sclerosis (ALS) 
• Anxiety disorder 
• Autism spectrum disorder 
• Cancer 
• Cervical dystonia 
• Crohn’s disease 
• Epilepsy and other seizure disorders 
• Friedreich’s ataxia
• Glaucoma
• Hepatitis C infection (currently receiving antiviral therapy) 
• HIV/AIDS 
• Hospice patients
• Huntington’s disease
• Inflammatory autoimmune-mediated arthritis
• Insomnia 
• Intractable nausea/vomiting 
• Lewy body disease 
• Multiple sclerosis
• Obstructive sleep apnea
• Opioid dependency or other substance abuse disorders
• Painful peripheral neuropathy 
• Parkinson’s disease
• Post-traumatic stress disorder (PTSD) 
• Severe chronic pain 
• Spasmodic torticollis 
• Spinal cord damage (with objective neurological indication of intractable spasticity) 

Application Process: 

1. Obtain a medical cannabis recommendation from a qualified New Mexico medical provider.
2. Submit an online application to the New Mexico Department of Health.

Physician Requirements: 

• Physicians must be licensed in New Mexico.
• They must certify that the patient has a qualifying condition and might benefit from medical cannabis use. 

Possession Limits: 

• Medical cannabis cardholders can purchase up to 15 ounces (425 units) of medical cannabis over 90-day periods. 

Other Relevant Information: 

• Home cultivation is allowed for medical cannabis patients (up to 16 plants, with limits on mature plants).
• New Mexico also has a legal adult-use cannabis program, but medical cannabis patients have higher purchase limits and do not pay taxes on their purchases.
• Patients can designate caregivers to assist them with their medical cannabis use. 
• If a patient’s condition is not on the list of qualifying conditions, they can petition the Medical Advisory Board to have it added.

Recreational Cannabis in New Mexico

New Mexico legalized recreational cannabis in 2021, with legal sales commencing on April 1, 2022.

• Legal Age: 21 years or older 

Possession Limit:

• At home: No possession limit 
• Outside the home: 2 ounces of cannabis flower, 16 grams of concentrate, or 800 mg of edibles 

Purchase Limit: 2 ounces of cannabis, 16 grams of concentrate, or 800 mg of edibles at one time . There are no weekly or monthly purchase limits. 

Home Cultivation:

• Adults 21 and older can cultivate up to 6 mature plants and 6 immature plants per person. 
• There is a limit of 12 mature plants per household. 

Consumption Restrictions:

• Consumption is permitted on private property but not in public spaces.
• Driving under the influence of cannabis is illegal.

Where to Purchase:

• Cannabis can be purchased at licensed retail dispensaries. 

Taxes:

• Recreational cannabis sales are subject to a 12% excise tax in addition to regular sales taxes. 
• The excise tax increases by 1% each year, starting in 2025, until it reaches 18% in 2030. 

New Mexico has a combined regulatory framework for both medical and recreational cannabis, overseen by the Cannabis Control Division. The Department of Health continues to manage the medical cannabis patient program.

Medical Cannabis in New York

New York legalized medical marijuana in 2014, and the program has been operational since 2016.

Eligibility Requirements: 

• Be a New York resident.
• Have a qualifying medical condition certified by a healthcare provider registered with the program. 

Qualifying Conditions: 

• Cancer
• HIV/AIDS 
• Amyotrophic lateral sclerosis (ALS) 
• Parkinson’s disease 
• Multiple sclerosis 
• Spinal cord injury with intractable spasticity 
• Epilepsy 
• Inflammatory bowel disease
• Chronic pain 
• Neuropathy 
• Huntington’s disease
• Post-traumatic stress disorder (PTSD) 
• Substance use disorder (must also have an associated or complicating condition such as cachexia, chronic pain, severe nausea, seizures, muscle spasms, PTSD, or opioid use disorder) 

Application Process: 

• Get certified by a healthcare provider registered with the program.
• Register online with the New York State Department of Health’s Medical Cannabis Data Management System (MCDMS).
• Submit the required documentation, including proof of residency and a government-issued ID.

Physician Requirements: 

• Physicians must be licensed in New York State and qualified to treat the patient’s qualifying condition. 
• They must complete an Office of Cannabis Management (OCM)-approved course on medical cannabis. 

Possession Limits: 

• Patients can purchase up to a 60-day supply of medical cannabis products. 

Other Relevant Information: 

• Home cultivation of up to six plants (three mature) is allowed. 
• Medical cannabis is available at state-licensed dispensaries. 
• Delivery services are available. 
• Each certified patient may have up to five designated caregivers. 
• New York does not have reciprocity with other states.

Recreational Cannabis in New York

New York legalized recreational cannabis in March 2021, with legal sales beginning in December 2022.

• Legal Age: 21 years or older.

Possession Limit:

• Outside the home: Up to 3 ounces of cannabis flower or 24 grams of concentrated cannabis.
• In the home: Up to 5 pounds of cannabis.

Home Cultivation:

• Adults 21 and older can cultivate up to 3 mature and 3 immature cannabis plants per person, with a maximum of 12 plants per household. 
• Home cultivation was not permitted immediately after legalization; regulations were set to be in place by April 1, 2023. 

Consumption Restrictions:

• Smoking or vaping cannabis is permitted where tobacco smoking is allowed, with some exceptions.
• It is illegal to smoke or vape cannabis in motor vehicles, even if parked.
• It is also illegal to smoke or vape in restaurants, parks, event spaces, or any business, including cannabis dispensaries.

New York is actively developing its recreational cannabis market, with licensed dispensaries opening throughout the state. It’s important to be aware of and follow the state’s regulations on possession, consumption, and purchase to ensure responsible and legal use.

While there have been recent developments and ongoing discussions, medical cannabis is not yet fully legal in North Carolina. Here’s a summary of the current situation: 

Limited Medical Cannabis:

• CBD Oil for Epilepsy: In 2014, “Julian’s Law” (S. 1035) legalized the use of low-THC CBD oil for patients with intractable epilepsy. This oil must contain less than 0.9% THC and at least 15% CBD. 
• No Dispensaries or Cards: The law does not provide a framework for dispensaries or a system for obtaining medical marijuana cards. Patients with intractable epilepsy are limited to purchasing hemp-derived CBD products that meet the THC limit. 

Recent Developments:

• Compassionate Care Act: In 2022, the North Carolina Senate passed the Compassionate Care Act (S. 150), which would legalize medical marijuana for a wider range of qualifying conditions. However, this bill has not yet been approved by the House of Representatives. 
• Qualifying Conditions (if S. 150 passes): The Compassionate Care Act would allow medical marijuana use for conditions like cancer, ALS, PTSD, multiple sclerosis, Crohn’s disease, and chronic pain. 

Key Takeaways:

• As of December 2024, only low-THC CBD oil is legal for limited medical use in North Carolina.
• The Compassionate Care Act could significantly change the medical cannabis landscape if passed by the House.
• It’s important to stay informed about any legislative updates and the progress of the Compassionate Care Act.

Recreational marijuana is illegal in North Carolina. Possession of even small amounts can lead to misdemeanor charges and fines, while larger amounts can result in felony charges and jail time. 

Key Takeaways:

• No Recreational Use: Possessing, using, cultivating, or selling marijuana for recreational purposes is against the law. 
• Decriminalization: North Carolina has a limited decriminalization law from the 1970s, but it does not fully legalize recreational use.
• Penalties Vary: The severity of penalties for marijuana possession depends on the amount and prior convictions. 
• Hemp-Derived Products: Hemp-derived products with less than 0.3% THC, including CBD, are legal.
• No Legalization Yet: While there is some public and political support for legalization, North Carolina has not yet legalized recreational marijuana.

It’s important to be aware of and respect North Carolina’s marijuana laws to avoid potential legal consequences.

Medical Cannabis in North Dakota

North Dakota legalized medical marijuana in 2016 with the passage of the Compassionate Care Act.

Eligibility Requirements: 

• Be a North Dakota resident.
• Have a qualifying medical condition.

Qualifying Conditions: 

• Acquired Immune Deficiency Syndrome
• Agitation of Alzheimer’s Disease or related Dementia
• Amyotrophic Lateral Sclerosis
• Anorexia Nervosa
• Anxiety Disorder
• Autism Spectrum Disorder
• Brain Injury
• Bulimia Nervosa
• Cancer
• Crohn’s Disease
• Decompensated Cirrhosis caused by Hepatitis C
• Ehlers-Danlos Syndrome
• Endometriosis
• Epilepsy
• Fibromyalgia
• Glaucoma
• Human Immunodeficiency Virus
• Interstitial Cystitis
• Migraine
• Neuropathy
• Post-Traumatic Stress Disorder
• Rheumatoid Arthritis
• Spinal stenosis or chronic back pain, including those presenting with neuropathy, spinal cord tissue damage, and intractable spasticity
• Terminal Illness
• Tourette Syndrome
• Any medical condition or its treatment that causes one or more of the following:
• Cachexia or wasting syndrome
• Intractable nausea
• Seizures
• Severe debilitating pain unresponsive to conventional treatments for more than three months or for which these treatments produced serious side effects
• Severe and persistent muscle spasms, including multiple sclerosis

Application Process: 

1. Obtain a written certification from a physician.
2. Create an account and apply online through the North Dakota Department of Health.

Physician Requirements: 

• Physicians must be licensed in North Dakota.
• They must certify that the patient has a qualifying condition and might benefit from medical marijuana.

Possession Limits: 

• Patients can possess up to 3 ounces of dried cannabis flower. 
• Patients with cancer can possess up to 6 ounces.
• Patients can purchase up to 2.5 ounces of marijuana flower and no more than 4 grams of total THC in other cannabis products within a 30-day period.

Other Relevant Information: 

• Home cultivation is not permitted.
• Medical marijuana is available at state-licensed dispensaries. 
• Delivery services are not available.
• The law does not provide specific employment protections for medical marijuana patients.
• There is no caregiver program in North Dakota.

Recreational marijuana is illegal in North Dakota.

However, possession of small amounts of marijuana (less than ½ ounce) was decriminalized in 2019. This means that individuals found with this amount will face a civil infraction with a fine of up to $1,000, but no jail time.

Despite decriminalization, any amount of marijuana use remains a misdemeanor. Possession of larger amounts or selling marijuana can result in more severe penalties, including jail time.

Key Takeaways:

• No Legal Recreational Use: Possessing, using, cultivating, or selling marijuana for recreational purposes is against the law. 
• Decriminalization for Small Amounts: Possession of less than ½ ounce is decriminalized, but it is still a finable offense.
• Public Support: There is some public support for recreational marijuana legalization, as evidenced by past ballot initiatives, but none have been successful . 

It’s important to be aware of and respect North Dakota’s marijuana laws to avoid potential legal consequences.

Ohio legalized medical marijuana in 2016, with the program becoming operational in 2019. Here’s a summary of the key aspects: 

Eligibility Requirements: 

• Be an Ohio resident.
• Have a qualifying medical condition.
• Establish a bona fide relationship with a certified physician.

Qualifying Conditions: 

• AIDS
• Alzheimer’s disease 
• Amyotrophic lateral sclerosis (ALS) 
• Cancer
• Chronic traumatic encephalopathy 
• Crohn’s disease 
• Epilepsy or another seizure disorder 
• Fibromyalgia 
• Glaucoma 
• Hepatitis C 
• Inflammatory bowel disease 
• Multiple sclerosis (MS) 
• Chronic or intractable pain
• Parkinson’s disease 
• Positive status for HIV 
• PTSD 
• Sickle cell anemia 
• Spinal cord disease or injury 
• Tourette’s syndrome 
• Traumatic brain injury 
• Ulcerative colitis 

Application Process: 

1. Visit a certified physician to receive a recommendation.
2. The physician will create a patient profile in the Patient & Caregiver Registry.
3. Complete the registration process online and pay the registration fee.

Physician Requirements: 

• Physicians must have an active, unrestricted license to practice medicine in Ohio. 
• They must complete a state-approved training course on medical marijuana. 
• They must establish a bona fide relationship with the patient, meaning an ongoing responsibility for their care.

Costs: 

• The registration fee for patients is $0.01.
• The registration fee for caregivers is $0.01.

Possession Limits: 

• Patients can possess up to a 90-day supply of medical marijuana. 
• The 90-day supply is divided into two 45-day fill periods. 
• Specific limits apply to different forms of medical marijuana (e.g., 8 ounces of flower for Tier I patients). 

Other Relevant Information: 

• Smoking medical marijuana is not permitted, but vaporization is allowed. 
• Patients can access medical marijuana in various forms, including extracts and edibles. 
• Ohio has reciprocity with other states, allowing out-of-state patients to possess and use medical marijuana.
• Health insurance is not required to cover medical marijuana costs. 
• Employers are not required to accommodate medical marijuana use in the workplace. 

Ohio legalized recreational cannabis on November 7, 2023, with the passage of Issue 2. Here’s a summary of the key laws: 

Legal Age: 21 years or older 

Possession Limit:

• Up to 2.5 ounces of cannabis flower 
• Up to 15 grams of cannabis concentrate 

Home Cultivation:

• Adults 21 and older can cultivate up to six cannabis plants at home.
• Households with multiple adults can have a maximum of 12 plants.
• Cultivation must be in an enclosed, locked space not visible to the public.

Consumption Restrictions:

• Public consumption is generally prohibited, similar to Ohio’s public smoking ban.
• Driving under the influence of cannabis is illegal.
• Employers can still restrict marijuana use in the workplace.

Where to Purchase:

• Cannabis can be purchased at licensed adult-use dispensaries.
• The first licensed sales began on August 6, 2024.

Other Relevant Information:

• Local jurisdictions can prohibit or limit the number of cannabis businesses within their boundaries.
• There are purchase limits per transaction, although no daily purchase limit is specified.

Ohio is in the process of establishing its recreational cannabis market, with regulations and licensing procedures still being developed. It’s crucial to stay informed about the evolving laws and regulations to ensure responsible and legal cannabis use.

Oklahoma has one of the most accessible medical cannabis programs in the United States. It was legalized in 2018 through State Question 788.

Eligibility Requirements: 

• Be an Oklahoma resident aged 18 or older.
• Minors (17 and younger) are eligible with parental consent and require a Physician Recommendation Form signed by two qualified physicians.
• Non-residents can obtain a temporary license.

Qualifying Conditions: 

• There are no specific qualifying conditions in Oklahoma.
• Any licensed physician can recommend medical cannabis according to accepted medical standards.

Application Process: 

1. Obtain a Physician Recommendation Form from an authorized physician.
2. Apply online through the Oklahoma Medical Marijuana Authority (OMMA).
3. Provide proof of identity, residency, and an acceptable photo.

Physician Requirements: 

• Physicians must be Oklahoma board-certified.
• They must recommend medical cannabis according to accepted medical standards.

Possession Limits: 

• 3 ounces of marijuana on their person
• 8 ounces of marijuana in their residence
• 1 ounce of concentrated marijuana
• 72 ounces of edible marijuana
• 6 mature marijuana plants
• 6 seedling plants

Other Relevant Information: 

• Home cultivation is permitted.
• Oklahoma has reciprocity with other states.
• Recent changes require employee credentialing for medical marijuana businesses.
• Oklahoma has a large medical marijuana program, with over 8.5% of Oklahomans registered as patients.
• There are ongoing efforts to regulate and enforce the medical marijuana industry.

Recreational marijuana is illegal in Oklahoma.

While Oklahoma has a very open medical marijuana program, efforts to legalize recreational use have not been successful. In 2023, voters rejected State Question 820, which would have legalized recreational cannabis for adults 21 and older. 

Key Takeaways:

• Possession, use, cultivation, and sale of marijuana for non-medical purposes are against the law. 
• Penalties for recreational marijuana offenses can include fines and jail time. 
• There is public support for recreational marijuana legalization, but it has not yet been enacted.
• CBD oil derived from industrial hemp is legal in Oklahoma without a license.

It’s important to be aware of and respect Oklahoma’s marijuana laws to avoid potential legal consequences.

Oregon was the first state to decriminalize cannabis (in 1973) and the second to legalize medical marijuana (in 1998). The state has a well-established medical marijuana program with relatively liberal laws.

Eligibility Requirements: 

• Be an Oregon resident.
• Be 18 years or older (minors need parental/guardian consent and a designated caregiver). 
• Have a qualifying medical condition.

Qualifying Conditions: 

• Cancer
• Glaucoma 
• HIV/AIDS 
• Post-traumatic stress disorder (PTSD) 
• Degenerative or pervasive neurological condition (e.g., Alzheimer’s disease) 
• Any medical condition that causes one or more of the following:
• Cachexia (wasting syndrome) 
• Persistent muscle spasms (including those caused by multiple sclerosis) 
• Severe pain 
• Severe nausea 
• Seizures (including those caused by epilepsy) 

Application Process: 

1. Obtain a signed Attending Physician’s Statement from a licensed healthcare provider.
2. Submit an online application through the Oregon Medical Marijuana Program (OMMP) system.
3. Provide a copy of a valid government-issued photo ID and proof of Oregon residency (if required).
4. Pay the application fee.

Physician Requirements: 

• Physicians, physician associates, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, or naturopathic physicians can recommend medical marijuana. 
• They must have a bona fide patient-provider relationship.

Costs: 

• The application fee is $200, with reduced fees available for veterans and those on SNAP.
• Veterans with a total disability rating of at least 50% may qualify for a no-fee card. 

Possession Limits: 

• 24 ounces of usable marijuana at a private residence.
• Up to 5 grams of cannabinoid extracts or concentrates.
• Up to 16 ounces of cannabinoid product in solid form.
• Up to 72 ounces of cannabinoid product in liquid form.

Other Relevant Information: 

• Home cultivation is allowed for medical marijuana patients (up to six mature and 12 immature plants).
• Medical marijuana patients can purchase cannabis from both medical and adult-use dispensaries.
• Oregon has reciprocity with other states.

It’s important to note that while recreational cannabis is legal in Oregon, there are still benefits to having a medical marijuana card, such as higher possession limits, the ability to purchase from medical dispensaries with a wider selection of products, and potential tax advantages.

Oregon legalized recreational cannabis in 2014 with the passage of Measure 91, and sales began in 2015.

Legal Age: 21 years or older.

Possession Limits: 

• In public: Up to 1 ounce of usable marijuana.
• At home: Up to 8 ounces of usable marijuana. 

Home Cultivation: Adults 21 and older can grow up to four cannabis plants per household. However, if you are renting, it’s essential to check with your landlord about their rules regarding cannabis cultivation. 

Consumption Restrictions:

• Consuming cannabis in public places is illegal.
• Driving under the influence of cannabis is illegal.
• Employers and landlords can restrict cannabis use on their property, even for those of legal age.

Where to Purchase:

• Cannabis can be purchased at licensed retail dispensaries regulated by the Oregon Liquor and Cannabis Commission (OLCC).

Oregon has a mature recreational cannabis market with numerous dispensaries throughout the state. It’s important to be aware of and follow the state’s regulations on possession, cultivation, and consumption to ensure responsible and legal use. 

Pennsylvania legalized medical marijuana in 2016 with the passage of Act 16. The program has been operational since 2018, and as of May 15, 2020, over 297,317 people had registered.

Eligibility Requirements: 

• Be a Pennsylvania resident.
• Have a serious medical condition certified by a physician registered with the program. 

Qualifying Conditions: 

Pennsylvania has a list of 23 qualifying conditions, including:

• Amyotrophic Lateral Sclerosis (ALS) 
• Autism 
• Cancer, including remission therapy 
• Crohn’s Disease 
• Damage to the nervous tissue of the central nervous system (brain-spinal cord) with objective neurological indication of intractable spasticity, and other associated neuropathies 
• Epilepsy 
• Glaucoma 
• HIV/AIDS 
• Huntington’s Disease 
• Inflammatory Bowel Disease 
• Intractable Seizures 
• Multiple Sclerosis 
• Neuropathies 
• Parkinson’s Disease 
• Post-traumatic Stress-disorder (PTSD)
• Severe chronic or intractable pain of neuropathic origin or severe chronic or intractable pain 
• Sickle Cell Anemia 
• Neurodegenerative diseases (i.e., Alzheimer’s Disease) 
• Terminal illness 
• Dyskinetic and spastic movement disorders 
• Opioid use disorder 
• Anxiety Disorder 
• Chronic Hepatitis C

Application Process: 

1. Register for the program through the Medical Marijuana Registry.
2. Have a physician certify that you suffer from one of the qualifying conditions. 
3. Pay for a medical marijuana ID card.

Physician Requirements: 

• Physicians must register with the Department of Health and undergo special training. 

Other Relevant Information: 

• Medical marijuana is available in various forms, including pills, oils, topical creams, tinctures, and forms for vaporization or nebulization. 
• Smoking of raw cannabis flower is not permitted. 
• Patients must purchase medical marijuana from licensed dispensaries. 
• It is illegal to possess medical marijuana obtained from another state or another patient.

Recreational cannabis is illegal in Pennsylvania. However, there is a growing movement to legalize it, and the landscape may change in the near future.

Current Situation:

• Possession of small amounts of marijuana (under 30 grams) is decriminalized in some cities, including Philadelphia, Pittsburgh, and Harrisburg. This means that instead of facing criminal charges, individuals will receive a small fine. 
• Despite decriminalization efforts, recreational use, cultivation, and sale of marijuana remain illegal throughout the state. 
• Penalties for marijuana possession can vary depending on the amount and prior convictions.

Recent Developments:

• There is growing bipartisan support for legalizing recreational marijuana in Pennsylvania.
• Governor Josh Shapiro has expressed support for legalization and included it in his budget proposal. 
• Neighboring states, including New Jersey, New York, Maryland, Delaware, Ohio, and Virginia, have already legalized recreational cannabis, putting pressure on Pennsylvania to follow suit.

Key Takeaways:

• While recreational cannabis is not yet legal, the situation is evolving rapidly.
• It’s important to stay informed about legislative developments and any potential changes to the law.
• Even with decriminalization in some cities, it’s crucial to be aware of and respect the current laws to avoid potential legal consequences.

Puerto Rico legalized medical cannabis in 2015, with the program becoming operational in 2017.

Eligibility Requirements: 

• Be at least 21 years old. 
• Be certified by a licensed physician.
• Hold a medical cannabis ID card from the Department of Health. 
• Non-residents may also obtain a medical cannabis card. 

Qualifying Conditions: Puerto Rico has a broad list of qualifying conditions, including:

• Alzheimer’s disease
• Anorexia
• Anxiety disorders
• Arthritis
• Autism
• Bipolar disorder
• Cachexia
• Cancer and cancer chemotherapy treatment
• Chronic pain
• Degenerative diseases such as amyotrophic lateral sclerosis (ALS), multiple sclerosis, and inflammatory bowel disease
• Depression
• Epilepsy
• Fibromyalgia
• Glaucoma
• Hepatitis C
• HIV/AIDS
• Insomnia
• Migraine
• Parkinson’s disease
• Peripheral neuropathy
• Post-traumatic stress disorder (PTSD)
• Severe nausea or persistent muscle spasms that the Medical Advisory Body recommends, and the Board expresses through Administrative Determination
• Spinal cord injuries
• Incurable and advanced diseases that require palliative care 

Application Process: 

1. Go to the state website: https://licenciacannabis.salud.pr.gov.
2. Apply for your license.
3. Complete the registration form to create your account.
4. Start the application.

Physician Requirements: 

• Physicians must certify that the patient has a chronic and debilitating medical condition, that standard medical treatments have failed, and that the benefits of medical cannabis outweigh the side effects.

Possession Limits: 

• 30-day supply, but only non-smokable forms are allowed. 

Other Relevant Information: 

• Home cultivation is not permitted.
• Medical marijuana is purchased from state-approved dispensaries.
• Delivery services are available.
• Smoking is prohibited.
• There is no caregiver program.
• Employment protections are in place for qualifying patients. 
• Puerto Rico does not have reciprocity with other states.

Recreational cannabis is illegal in Puerto Rico.

Possession of any amount of marijuana for non-medical purposes is a felony and can be punished by imprisonment (2-5 years) and fines (up to $5,000) . Cultivation and sale are also felonies with potentially harsher penalties .

Key Takeaways:

• No Legal Recreational Use: Despite having a medical marijuana program, recreational use of cannabis remains prohibited.
• Penalties: Possession, cultivation, or sale of marijuana for recreational purposes can result in felony charges, fines, and imprisonment.
• Medical Use Allowed: Marijuana is legal for medical purposes with a valid medical cannabis ID card, but smoking is prohibited.

It’s important to be aware of and respect Puerto Rico’s marijuana laws to avoid potential legal consequences.

Rhode Island legalized medical marijuana in 2006, becoming the 11th state to do so . The program has evolved over the years, and Rhode Island also legalized recreational cannabis in 2022.

Eligibility Requirements: 

• Be a Rhode Island resident.
• Have a debilitating medical condition certified by a physician.

Qualifying Conditions: 

• Cancer
• Glaucoma
• HIV/AIDS
• Hepatitis C
• A chronic or debilitating disease or medical condition, or its treatment, that produces one or more of the following:
• Cachexia or wasting syndrome
• Severe, debilitating, chronic pain
• Severe nausea
• Seizures, including those characteristic of epilepsy 
• Severe and persistent muscle spasms, including those characteristic of multiple sclerosis or Crohn’s disease 
• Agitation of Alzheimer’s disease
• Post-traumatic stress disorder (PTSD) (for patients 18 or older)
• Autism spectrum disorder

Application Process: 

• Obtain a written certification from a physician.
• Complete an application through the Rhode Island Cannabis Licensing Portal.

Physician Requirements: 

• The physician must be licensed in Rhode Island, Connecticut or Massachusetts.

Costs: 

• $50 for a medical marijuana card, with a $25 discount for those receiving Medicaid, veterans’ disability, federal railroad disability, SSI, or SSDI.

Possession Limits: 

• Up to 2.5 ounces of usable cannabis.

Other Relevant Information: 

• Home cultivation is allowed (up to 12 plants and 12 seedlings).
• Medical marijuana is purchased at licensed compassion centers.
• Delivery services are available.
• Rhode Island has reciprocity with other states.
• Patients can designate a caregiver to cultivate and provide medical cannabis.
• Two or more cardholders can cooperatively cultivate marijuana.

Even though recreational cannabis is now legal in Rhode Island, there are still potential benefits to having a medical marijuana card, such as possible cost savings and access to medical-specific products and services.

Rhode Island legalized recreational cannabis in May 2022, with legal sales starting in December 2022.

Legal Age: 21 years or older.

Possession Limits: 

• In public: Up to 1 ounce of usable marijuana.
• At home: Up to 10 ounces of usable marijuana.

Home Cultivation: Adults 21 and older can cultivate up to 3 mature and 3 immature cannabis plants at home.

Consumption Restrictions:

• Smoking cannabis is legal wherever tobacco smoking is permitted.
• Driving under the influence of cannabis is illegal.

Where to Purchase:

• Cannabis can be purchased at licensed compassion centers (dispensaries).
• The law allows for the expansion of retail licenses to increase the number of dispensaries.

Other Relevant Information:

• The law facilitates the automatic expungement of past criminal records for cannabis possession.
• A 10% cannabis excise tax is added to the 7% sales tax, plus a 3% local tax in the municipality where the sale occurs.

Current Situation:

• CBD Oil with Low THC: In 2014, South Carolina legalized the use of CBD oil with low THC (less than 0.9% THC and at least 15% CBD) for patients with severe forms of epilepsy, such as Lennox-Gastaut syndrome and Dravet syndrome . This law is known as “Julian’s Law” . 
• No Medical Marijuana Cards or Dispensaries: South Carolina does not have a system for issuing medical marijuana cards or a program for licensing dispensaries . Patients or their caregivers must obtain CBD oil from other sources that comply with the legal limits. 

Proposed Legislation:

• Compassionate Care Act: The South Carolina Senate passed the Compassionate Care Act (S. 150) in 2022, which would legalize medical marijuana for a wider range of qualifying conditions . However, the bill has not yet been approved by the House of Representatives . 
• Potential Qualifying Conditions (if S. 150 passes): The Compassionate Care Act would allow medical marijuana use for conditions like cancer, multiple sclerosis, epilepsy, sickle cell anemia, PTSD, autism, Crohn’s disease, ulcerative colitis, cachexia, terminal illness, and chronic medical conditions causing severe muscle spasms or for which an opioid could be prescribed . 

Key Takeaways:

• As of December 2024, only low-THC CBD oil is legal for limited medical use in South Carolina.
• The Compassionate Care Act could significantly change the medical cannabis landscape if passed by the House.
• It’s important to stay informed about any legislative updates and the progress of the Compassionate Care Act.

Recreational marijuana is illegal in South Carolina. Possession of any amount is a misdemeanor on the first offense, punishable by a fine of up to $200 and/or 30 days in jail. Subsequent offenses can result in harsher penalties, including felony charges for larger amounts.

Key Takeaways:

• No Legal Recreational Use: Possessing, using, cultivating, or selling marijuana for recreational purposes is against the law. 
• Limited Decriminalization: While there have been efforts to decriminalize small amounts of marijuana, these have not been successful at the state level. Some cities may have local ordinances with less severe penalties for possession.
• CBD Oil with Low THC: South Carolina has legalized CBD oil with low THC (less than 0.9% THC) for limited medical use in cases of severe epilepsy.
• No Legalization in Sight: Despite some public support for legalization, South Carolina has not yet taken steps to legalize recreational marijuana. 

It’s important to be aware of and respect South Carolina’s marijuana laws to avoid potential legal consequences.

South Dakota legalized medical cannabis in 2020 through Initiated Measure 26, with the program becoming operational in July 2022.

Eligibility Requirements:

• Be a South Dakota resident or a non-resident.
• Have a qualifying medical condition certified by a physician.
• Both adults and minors are eligible (minors need parental consent and a caregiver).

Qualifying Conditions:

South Dakota defines a “debilitating medical condition” as: A chronic or debilitating disease or medical condition, or its treatment, which produces one or more of the following:

• Cachexia or Wasting syndrome
• Severe, debilitating pain
• Severe nausea
• Seizures
• Severe and persistent muscle spasms

Specific conditions, including:

• AIDS/HIV
• ALS
• Cancer
• Crohn’s disease
• Epilepsy
• Glaucoma
• Multiple sclerosis
• PTSD

Application Process:

• Obtain a written certification from a licensed physician in South Dakota.
• Apply online through the South Dakota Department of Health’s online registration system.
• Submit the required documentation, including a photocopy of an unexpired form of identification, a passport-quality photo, and the application fee.

Physician Requirements:

• Physicians must be licensed in South Dakota.
• They must complete a certification process to recommend medical cannabis.

Costs:

• $75 application fee for a medical cannabis registry identification card.
• Reduced fee available for low-income individuals.

Possession Limits:

• Medical marijuana patients may possess up to 3 ounces of cannabis, including other allowable products.

Other Relevant Information:

• Home cultivation is allowed (up to 3 plants).
• Medical marijuana is purchased from state-licensed dispensaries.
• Delivery services are not available.
• Caregivers are allowed.
• Employment protections are in place for qualifying patients.
• South Dakota does not have reciprocity with other states.

Recreational marijuana is currently illegal in South Dakota.

While voters approved recreational cannabis in 2020 with Amendment A, the South Dakota Supreme Court ruled it unconstitutional in 2021. This ruling was based on the state’s single-subject rule for constitutional amendments. 

Another attempt to legalize recreational marijuana through Initiated Measure 29 in 2024 was also unsuccessful. 

Key Takeaways:

• Possession, use, cultivation, and sale of marijuana for non-medical purposes are against the law.
• Penalties for recreational marijuana offenses can include fines and jail time. 
• Despite previous votes in favor of legalization, recreational cannabis remains illegal in South Dakota as of December 2024.
• Hemp-derived CBD products are legal in South Dakota. 

It’s important to be aware of and respect South Dakota’s marijuana laws to avoid potential legal consequences.

While Tennessee has taken few small steps towards medical cannabis access, it does not have a comprehensive medical marijuana program like many other states. Here is a summary of the current situation: 

Limited Medical Cannabis Access:

Low-THC CBD Oil: Tennessee allows the use of CBD oil with incredibly low THC content (less than 0.9%) for certain medical conditions. This law, initially passed in 2014 was expanded in 2021.

Qualifying Conditions: To qualify for low-THC CBD oil, patients must have one of the following conditions:

• Alzheimer’s disease 
• Amyotrophic lateral sclerosis (ALS) 
• Cancer (if end-stage or treatment causes wasting illness, nausea, or pain)
• Inflammatory bowel disease (including Crohn’s disease and ulcerative colitis) 
• Epilepsy or seizures
• Multiple sclerosis 
• Parkinson’s disease 
• HIV/AIDS 
• Sickle cell disease 

No Medical Marijuana Cards or Dispensaries: Tennessee does not have a system for issuing medical marijuana cards or a program for licensing dispensaries. Patients must obtain low-THC CBD oil from other sources that comply with the legal limits.

Other Relevant Information:

• Cannabis Commission: Tennessee has established a commission to study the possibility of future medical marijuana legalization.
• Ongoing Efforts: There are ongoing efforts to expand medical cannabis access in Tennessee, but as of December 2024, no comprehensive program exists.

It is important to stay informed about any legislative updates and the progress of medical cannabis legalization efforts in Tennessee.

Recreational marijuana is illegal in Tennessee. Possession of any amount of marijuana for non-medical purposes is a criminal offense and can result in fines and jail time. 

Key Takeaways:

• No Legal Recreational Use: Possessing, using, cultivating, or selling marijuana for recreational purposes is against the law. 
• Penalties: Penalties for marijuana possession vary depending on the amount and prior convictions. Possession of small amounts (up to half an ounce) is a misdemeanor, while larger amounts can result in felony charges. 
• Limited Medical Exception: Tennessee has a very limited medical exception for low-THC CBD oil (less than 0.9% THC) for certain qualifying conditions. However, there is no system for obtaining medical marijuana cards or accessing marijuana products through dispensaries. 
• Strict Laws: Tennessee has some of the strictest marijuana laws in the United States. 

It’s important to be aware of and respect Tennessee’s marijuana laws to avoid potential legal consequences.

Texas has a limited medical marijuana program called the Compassionate Use Program (CUP), established in 2015. It’s important to note that Texas does not issue medical marijuana cards like many other states. Instead, qualified patients receive a medical marijuana prescription from a registered physician. 

Eligibility Requirements: 

• Be a permanent resident of Texas. 
• Be at least 18 years old (or have a legal guardian who can provide consent). 
• Have a qualifying medical condition.

Qualifying Conditions: 

The list of qualifying conditions is relatively limited compared to other states and includes:

• Epilepsy 
• Seizure disorders 
• Multiple sclerosis (MS) 
• Spasticity 
• Amyotrophic lateral sclerosis (ALS) 
• Autism 
• Terminal cancer 
• Incurable neurodegenerative diseases (including Alzheimer’s and Parkinson’s) 
• Post-traumatic stress disorder (PTSD) 

Application Process: 

1. Schedule an appointment with a physician registered with the Compassionate Use Program. Telemedicine appointments are allowed . 
2. The physician will evaluate your medical history and determine your eligibility. 
3. If approved, the physician will enter a prescription into the Compassionate Use Registry of Texas (CURT) . 
4. You can then fill your prescription at any licensed dispensary in Texas . 

Physician Requirements: 

• Physicians must be registered with the Compassionate Use Program. 
• They must determine that the potential benefits of low-THC cannabis outweigh the risks for the patient.

Possession Limits: 

• The law focuses on low-THC cannabis, defined as having less than 1% THC by weight . 
• There is no specific possession limit in milligrams, but the physician determines the appropriate amount . 

Other Relevant Information:

• Home cultivation is not permitted . 
• Smoking medical marijuana is not allowed . 
• Texas does not have reciprocity with other states . 

It’s important to consult with a qualified physician registered with the Compassionate Use Program to determine your eligibility and understand the specific requirements for medical cannabis use in Texas.

Recreational cannabis is illegal in Texas. Possession, use, sale, and cultivation of marijuana for non-medical purposes are against the law and can result in criminal penalties, including fines and jail time. 

Key Takeaways:

• Penalties: The severity of penalties for marijuana possession depends on the amount. Possession of small amounts (up to 2 ounces) is a misdemeanor, while larger amounts can lead to felony charges. 
• Decriminalization Efforts: Some Texas cities have taken steps to decriminalize small amounts of marijuana, but these local ordinances do not fully legalize recreational use . 
• CBD from Hemp is Legal: Texas legalized hemp in 2019, allowing for the sale of CBD products derived from hemp with low THC content (less than 0.3%) . 
• Limited Medical Program: Texas has a limited medical marijuana program (Compassionate Use Program) for patients with specific qualifying conditions, but it focuses on low-THC cannabis oil . 

It’s important to be aware of and respect Texas marijuana laws to avoid potential legal consequences.

Utah legalized medical cannabis in 2018 through Proposition 2, also known as the Utah Medical Cannabis Act . The program has been operational since 2020, with some revisions and improvements made over the years. 

Eligibility Requirements: 

• Be a Utah resident.
• Have at least one qualifying condition.
• Submit an application online.
• Meet in person with a QMP (Qualified Medical Provider) registered with the Utah Department of Health and Human Services to recommend medical cannabis. 

Qualifying Conditions: 

Utah has a list of qualifying conditions, including:

• AIDS/HIV 
• Alzheimer’s disease 
• Amyotrophic lateral sclerosis (ALS) 
• Autism 
• Cancer 
• Cachexia (or other wasting disease) 
• Chronic pain (lasting longer than 2 weeks) 
• Crohn’s disease (or other gastrointestinal disorder) 
• Epilepsy (or other disorder causing seizures) 
• Multiple sclerosis (MS) 
• Persistent nausea that is not responsive to traditional treatment (excluding nausea related to pregnancy, cannabis-induced cyclical vomiting syndrome, or cannabinoid hyperemesis syndrome)
• Post-traumatic stress disorder (PTSD) 
• Ulcerative colitis (or other gastrointestinal disorder)
• A terminal illness (with six months or less to live) 
• A condition resulting in hospice care

Application Process: 

1. Apply for or renew your medical cannabis card online through the Utah Department of Health at https://medicalcannabis.utah.gov/.
2. Meet with a QMP to get a recommendation for medical cannabis.

Physician Requirements: 

• Physicians must complete appropriate continuing medical education courses.
• They must have the authority to prescribe Schedule II drugs.
• QMPs include state-licensed physicians, registered nurses, and physician assistants. 
• Physicians must pay a fee of $300 to complete the registration process and renew their registration every two years.
• There are limits on the number of medical marijuana recommendations QMPs can issue to patients. 

Costs: 

• The fee for a medical marijuana card is $15. 

Other Relevant Information: 

• To purchase medical cannabis, patients must bring their medical cannabis card and a valid form of photo identification to the pharmacy. 
• Patients can designate a caregiver to assist them with obtaining and using medical cannabis. 
• Provisional patient cards are available for those with conditions not on the list of qualifying conditions. These cards require approval from the Compassionate Use Board.
• Non-Utah residents with a qualifying condition and a medical cannabis card from another state may apply for a temporary card while visiting Utah. 
• There is ongoing discussion about potentially amending the law to remove the list of qualifying conditions and allow QMPs to recommend medical cannabis for any condition they deem appropriate.

Recreational marijuana is illegal in Utah. Possession, use, sale, and cultivation of marijuana for non-medical purposes are against the law and can result in criminal penalties, including fines and jail time.

Key Takeaways:

• No Legal Recreational Use: Despite having a medical cannabis program, recreational use of marijuana remains prohibited in Utah.
• Penalties: Penalties for marijuana possession vary depending on the amount and prior convictions.
• Medical Use Allowed: Marijuana is legal for medical purposes with a valid medical cannabis card, but there are restrictions on the forms and amounts that can be possessed.
• Decriminalization Efforts: There have been some efforts to decriminalize marijuana possession, but these have not been successful at the state level.
• CBD from Hemp is Legal: Utah allows the sale of CBD products derived from hemp with low THC content (less than 0.3%).

It’s important to be aware of and respect Utah’s marijuana laws to avoid potential legal consequences.

Vermont has a long history with medical cannabis, legalizing it in 2004 and expanding the program over the years.

Eligibility Requirements:

• Be a Vermont resident.
• Have a qualifying medical condition.

Qualifying Conditions: 

• Cancer
• Glaucoma
• HIV/AIDS
• Multiple sclerosis
• Parkinson’s disease
• Post-traumatic stress disorder (PTSD)
• Crohn’s disease

Any other debilitating medical condition or its treatment that produces one or more of the following:

• Cachexia or wasting syndrome
• Severe, chronic pain
• Severe nausea
• Seizures 

Application Process: 

1. Obtain a written recommendation from a healthcare professional.
2. Register with the Vermont Medical Cannabis Program online or by mail.

Physician Requirements: 

• Physicians must provide a written recommendation for medical cannabis.

Costs: 

• $50 non-refundable fee for patients and caregivers.

Possession Limits: 

• 2 ounces of usable marijuana.
• Single servings of medical cannabis products may not contain more than 100 mg of THC.

Other Relevant Information: 

• Home cultivation is allowed (up to 12 plants, with a limit of 6 mature plants).
• Patients can possess the total harvest of their plants.
• Medical marijuana is purchased at licensed dispensaries.
• Vermont also has a legal adult-use cannabis program.

It’s important to note that while recreational cannabis is legal in Vermont, there may still be benefits to having a medical marijuana card, such as potential cost savings and access to a wider range of products and services.

Vermont was the first state to legalize recreational cannabis through the legislature (in 2018), rather than through a ballot initiative.

Legal Age: 21 years or older

Possession Limit:

• Up to 1 ounce of marijuana.
• Up to 8,400 milligrams of THC in other cannabis products (concentrates, edibles, etc.).

Home Cultivation: Adults 21 and older can cultivate up to 2 mature cannabis plants and 4 immature plants at home.

Consumption Restrictions:

• Public consumption of cannabis is generally prohibited.
• Driving under the influence of cannabis is illegal.

Where to Purchase:

• Cannabis can be purchased at licensed retail dispensaries.
• The first legal recreational sales began in October 2022.

Vermont has a relatively relaxed approach to recreational cannabis, with an emphasis on personal freedom and responsible use. It’s important to be aware of and follow the state’s regulations on possession, cultivation, and consumption to ensure legal and safe use.

Virginia legalized medical cannabis in 2018, and the program has been expanding since then.

Eligibility Requirements:

• Be a Virginia resident.
• Be at least 18 years old.
• Have a qualifying medical condition diagnosed by a licensed Virginia physician.

Qualifying Conditions:

Virginia has a broad approach to qualifying conditions. While specific conditions like cancer, Crohn’s disease, multiple sclerosis, and PTSD are commonly treated with cannabis, any condition may qualify if a licensed physician determines that the patient might benefit from medical marijuana use.

Application Process: 

1. Obtain a written certification from a registered practitioner (physician, physician assistant, or nurse practitioner).
2. Register with the Virginia Board of Pharmacy.
3. Pay the application fee.

Physician Requirements: 

• Physicians must be licensed in Virginia.
• They must conduct an in-person evaluation of the patient’s medical history and condition.
• Telehealth evaluations are permitted. 

Costs: 

• $99 for the medical marijuana evaluation.
• The state application fee is not specified in the provided materials.

Possession Limits: 

• Patients can possess up to 4 ounces of botanical cannabis per 30 days. 
• For other cannabis products (e.g., edibles, concentrates), patients can possess a 90-day supply.
• Products may contain up to 10 mg of THC per single dose. 

Other Relevant Information: 

• Home cultivation of up to four plants per household is permitted for adults 21 and older. 
• Medical marijuana is purchased at licensed dispensaries. 
• Patients can designate a registered agent to purchase cannabis on their behalf. 
• Virginia legalized recreational cannabis in 2021, but there are still benefits to having a medical card, such as potentially higher possession limits and access to medical-specific products.

Virginia legalized recreational cannabis in 2021, but the rollout has been complex.

Legalization:

• Possession and Home Cultivation: Adults 21 and older can legally possess up to 1 ounce of cannabis and cultivate up to four plants per household. This went into effect in July 2021. 
• Sales Delayed: Retail sales were initially planned for 2024, but due to political shifts and a re-enactment clause, the legal framework for sales has not been finalized. As of January 2025, recreational sales are still illegal and unregulated.

Current Laws:

• Possession Limit: 1 ounce in public. No limit at home for personal use. 
• Home Cultivation: Up to 4 plants per household, out of public view and inaccessible to those under 21. 
• Sharing: Adults can share up to 1 ounce without remuneration. 
• Consumption: Generally allowed in private residences, but property owners can prohibit it.
• Penalties: Possessing more than 1 ounce but less than 1 pound in public is a civil penalty with a $25 fine. Having more than 1 pound at home is a misdemeanor or felony, depending on the amount.

Key Takeaways:

• While recreational use is legal, the market is not yet operational. 
• Possession and home cultivation are allowed within limits. 
• Public consumption is generally prohibited. 
• Driving under the influence of cannabis remains illegal. 

It’s important to stay updated on any legislative changes regarding recreational sales.

Washington has a long history with medical cannabis, legalizing it in 1998. While the state also has a recreational cannabis program, there are still benefits to having a medical authorization, such as avoiding sales tax on purchases.

Eligibility Requirements: 

• Be a Washington resident (adult or minor).
• Have a qualifying medical condition.
• Obtain a medical cannabis authorization form from a licensed healthcare practitioner. 

Qualifying Conditions: 

• Cancer
• HIV
• Multiple sclerosis
• Epilepsy or other seizure disorder 
• Intractable pain 
• Glaucoma
• Crohn’s disease
• Hepatitis C 
• Diseases resulting in nausea, vomiting, wasting, appetite loss, cramping, seizures, muscle spasms, or spasticity, when these symptoms are unresponsive to standard therapies
• Chronic renal failure requiring hemodialysis 
• Post-traumatic stress disorder (PTSD) 
• Traumatic brain injury

Application Process: 

• Receive medical cannabis authorization from a licensed healthcare practitioner.
• Visit a medically endorsed store.
• Get a medical cannabis card from a certified consultant at the store.

Physician Requirements: 

• Physicians must provide a recommendation or certification.
• There is no specific requirement for physicians to register with the state.

Possession Limits: 

• Patients can possess a 60-day supply of marijuana.

Other Relevant Information: 

• Registration is voluntary for adults but mandatory for minors. 
• Minors must have a designated provider who is a parent or legal guardian. 
• Designated providers must be at least 21 years old and registered with the program. 

It’s important to note that while recreational cannabis is legal in Washington, there are still potential benefits to having a medical authorization, such as avoiding sales tax on purchases and potentially having access to a wider range of products and services.

Washington was one of the first states to legalize recreational cannabis, with Initiative 502 passing in 2012. Legal sales began in July 2014.

Legal Age: 21 years or older 

Possession Limits:

• Up to 1 ounce of usable marijuana.
• Up to 7 grams of marijuana concentrates.
• Up to 16 ounces of marijuana-infused product in solid form.
• Up to 72 ounces of marijuana-infused product in liquid form.

Home Cultivation: Home cultivation for recreational use is illegal in Washington.

Consumption Restrictions:

• Consuming cannabis in public places is illegal.
• Driving under the influence of cannabis is illegal. 

Where to Purchase:

• Cannabis can be purchased at licensed retail stores regulated by the Washington State Liquor and Cannabis Board (WSLCB).

Washington has a well-established recreational cannabis market with numerous licensed retailers throughout the state. It’s important to be aware of and follow the state’s regulations on possession and consumption to ensure responsible and legal use.

Washington D.C. legalized medical cannabis in 2010 with the Legalization of Marijuana for Medical Treatment Act. The program has evolved to become quite accessible, with relatively relaxed requirements. 

Eligibility Requirements: 

• Be a D.C. resident.
• Be diagnosed with a qualifying medical condition or self-certify if 21 or older.

Qualifying Conditions:

• D.C. does not have a specific list of qualifying conditions. 
• Physicians can recommend medical cannabis for any condition they deem debilitating. 
• Adults 21 and older can self-certify their need for medical cannabis. 

Application Process:

• Obtain a recommendation from a healthcare practitioner or self-certify if 21 or older.
• Gather the required documents, including a photo ID and a recent photo.
• Submit the application online.

Physician Requirements:

• Physicians must maintain records for each qualifying patient, including medical records and a written certification.

Other Relevant Information:

• Non-D.C. residents can purchase medical cannabis with a temporary registration or if they have a valid medical cannabis card from a state with reciprocity. 
• Home cultivation is permitted for qualified patients (up to six plants, with a limit of three mature plants).
• D.C. also has a legal adult-use cannabis program, but medical cannabis patients may have access to a wider range of products and services.

Washington D.C. legalized recreational cannabis in 2014 through Initiative 71, which went into effect in 2015. However, the legal situation is unique due to Congressional oversight, which prevents the District from establishing a regulated commercial market like other states. 

Current Laws: 

• Legal Age: 21 years or older.
• Possession Limit: Up to 2 ounces of cannabis.
• Home Cultivation: Adults can grow up to 6 cannabis plants at home (no more than 3 mature). Households with multiple adults can grow up to 12 plants (no more than 6 mature).
• Gifting: Adults can give up to 1 ounce of cannabis to another adult without any exchange of money or goods.
• Sales Prohibited: It remains illegal to sell or purchase recreational cannabis in D.C. due to Congressional restrictions.
• Consumption: Generally allowed in private residences, but property owners can prohibit it. Public consumption is a misdemeanor.

Key Takeaways:

• D.C. has a “grey market” where cannabis is often gifted or exchanged for other goods and services, but these practices exist in a legal grey area.
• Efforts to establish a regulated recreational market have been blocked by Congress.
• It’s important to be aware of the specific laws and limitations regarding cannabis use in D.C. to avoid potential legal issues.

West Virginia legalized medical cannabis in 2017 with the passage of the West Virginia Medical Cannabis Act. The program became operational in 2020, and as of 2024, there were an estimated 33,480 registered patients.

Eligibility Requirements:

• Be a West Virginia resident.
• Have a qualifying medical condition.

Qualifying Conditions:

• Amyotrophic lateral sclerosis (ALS) 
• Cancer
• Positive status for human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS) 
• Parkinson’s disease 
• Multiple sclerosis (MS) 
• Damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity 
• Epilepsy 
• Neuropathies
• Huntington’s disease 
• Crohn’s disease 
• Post-traumatic stress disorder (PTSD) 
• Intractable seizures 
• Sickle cell anemia 
• Severe chronic or intractable pain of neuropathic origin or severe chronic or intractable pain 

Application Process:

1. Schedule an appointment with a registered physician in person or online.
2. Obtain a Patient Certification from the physician.
3. Apply for your medical cannabis card online through the Office of Medical Cannabis (OMC). 

Physician Requirements:

• Physicians must register with the Bureau of Health. 
• They must complete a four-hour course related to medical cannabis. 
• They must report to the bureau if a patient no longer needs access to medical cannabis or if the patient dies.

Costs:  

• $50 application fee. 

Possession Limits:  

• Patients can purchase up to a 30-day supply of medical cannabis. 
• This may not exceed 4 ounces of dried usable medical cannabis or the equivalent amount in other approved forms, including concentrates, oils, tinctures, liquids, or dermal patches. 

Other Relevant Information:

• Home cultivation is not permitted.
• Medical marijuana is purchased at state-licensed dispensaries.
• Delivery services are not available.
• Caregivers are allowed.
• Employment protections are in place for qualifying patients.
• Reciprocity is available, but only for terminally ill cancer patients.

Recreational cannabis is illegal in West Virginia. Possession of any amount of cannabis is a misdemeanor, punishable by 90 days to 6 months in jail and a fine of up to $1,000.

However, there have been some efforts to decriminalize or legalize cannabis:

• Decriminalization in Charleston: The city of Charleston decriminalized possession of up to 2 ounces of cannabis in 2022. 
• Partial Decriminalization in Morgantown: Morgantown has an ordinance instructing police to issue a $15 fine for possession of 15 grams or less of marijuana. However, this doesn’t prevent county or state law enforcement from enforcing state law. 
• Failed Legislation: Decriminalization and legalization bills were introduced in the 2024 legislative session but did not advance out of committee. 

Key Takeaways:

• Despite decriminalization efforts in some cities, recreational cannabis remains illegal at the state level. 
• Possession of any amount can result in a misdemeanor charge, although a conditional discharge may be granted for first-time possession of less than 15 grams.
• There is a strong demand for cannabis in West Virginia, both legally (through the medical program) and illegally.
• It’s important to stay informed about any changes to West Virginia’s cannabis laws.

Wisconsin has a very limited medical cannabis law. It allows the use of CBD oil (cannabidiol) that does not have a psychoactive effect. This means THC is not allowed for medical use. 

Key features of the law:

• Qualifying conditions: As of 2017, any individual with a letter from their physician may use and possess CBD oil.
• Access: CBD oil can be dispensed by physicians and pharmacies that have been issued an investigational drug permit by the FDA. 
• Possession: Individuals can possess CBD oil with a certification from a physician. 
• Cultivation: Patients are not allowed to cultivate their own cannabis plants.

It’s important to note that Wisconsin does not have a medical marijuana card program. There have been legislative efforts to establish a comprehensive medical cannabis program, but as of December 2024, none have been successful.

Recreational cannabis is illegal in Wisconsin. Possession of any amount is punishable by up to 6 months in prison and a $1,000 fine for a first offense. A second offense is a felony with up to 3.5 years in prison and a $10,000 fine.

However, there are some important nuances:

• Decriminalization: Many municipalities and counties have decriminalized cannabis or lessened penalties for minor possession offenses. For example, Madison has decriminalized possession of up to 28 grams. 
• CBD Oil: Medical use is legal only in the form of low-THC cannabis oil (CBD oil). 
• Public Support: There is significant public support for legalization, but the legislature has not yet acted. 

It’s important to be aware of and respect Wisconsin’s marijuana laws, even with decriminalization efforts in some localities.

Medical marijuana is not legal in Wyoming. However, a 2015 law allows limited use of non-psychoactive cannabidiol (CBD).

Key features of the law:

• Qualifying conditions: Intractable epilepsy (defined as epilepsy that “does not respond to other treatment options”).
• Possession limits: Qualified patients authorized by a neurologist may possess unspecified amounts of “hemp extracts,” which are defined as preparations of cannabis plant material containing less than 0.3 percent THC and more than 15 percent cannabidiol (CBD). 
• Access: The law does not provide for in-state access to CBD.
• Cultivation: Patients are not allowed to cultivate their own cannabis plants.

There have been several attempts to legalize medical marijuana in Wyoming, but none have been successful.

Recreational cannabis is illegal in Wyoming. The state has some of the strictest cannabis laws in the United States.

Penalties:

• Possession of less than 3 ounces of cannabis is a misdemeanor punishable by up to a year in jail and a $1,000 fine.
• Possession of more than 3 ounces is a felony.

Efforts to Change Legality:

• There have been efforts to legalize medical and decriminalize recreational cannabis, but none have been successful.
• A 2021 bill to legalize both medical and recreational cannabis died in the House.
• Two ballot initiatives in 2022, one for medical and one for decriminalization, failed to gather enough signatures.

It’s important to be aware of and respect Wyoming’s strict cannabis laws to avoid potential legal consequences.