Which States Have Legalized Medical Marijuana in 2025

As of May 2025, medical marijuana is legal in 41 U.S. states and Washington, D.C., giving patients access to cannabis-based treatment for a wide range of health conditions. This guide covers every state where medical marijuana is permitted, whether or not recreational use is also legal. For each state, you’ll find a summary of cannabis laws, a list of qualifying medical conditions, and key restrictions patients need to know. The states are organized alphabetically to make the guide easy to navigate, whether you’re a patient, a caregiver, or simply staying informed.

State-By-State Breakdown

1. Alaska

Alaska legalized medical marijuana in 1998 through Measure 8. The program is administered by the Alaska Department of Health and Social Services and allows qualified patients to obtain cannabis products from state-licensed dispensaries. 

Qualifying Conditions:

• Cachexia
• Cancer
• Chronic pain
• Glaucoma
• HIV/AIDS
• Multiple sclerosis
• Nausea
• Seizures  

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 1 ounce (28 grams) of usable cannabis.
2. Home Cultivation: Patients may cultivate up to six marijuana plants, with no more than three being mature and flowering at any given time.  
3. Residency Requirement: Only Alaska residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

2. Arizona

Arizona legalized medical marijuana in 2010 through Proposition 203. The program is administered by the Arizona Department of Health Services (ADHS) and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• Hepatitis C
• Amyotrophic lateral sclerosis (ALS)
• Crohn’s disease
• Agitation of Alzheimer’s disease
• A chronic or debilitating disease or medical condition or its treatment that produces one or more of the following:
  • Cachexia or wasting syndrome
  • Severe and chronic pain
  • Severe nausea
  • Seizures, including those characteristic of epilepsy
  • Severe and persistent muscle spasms, including those characteristic of multiple sclerosis

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 2.5 ounces of usable cannabis over 14 days.
2. Home Cultivation: Patients may cultivate up to 12 marijuana plants if they reside more than 25 miles from the nearest state-licensed dispensary.
3. Residency Requirement: Only Arizona residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

3. Arkansas

Arkansas legalized medical marijuana in 2016 through the Arkansas Medical Marijuana Amendment (Issue 6). The Arkansas Department of Health administers the program and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• Hepatitis C
• Amyotrophic lateral sclerosis (ALS)
• Tourette’s syndrome
• Crohn’s disease
• Ulcerative colitis
• Post-traumatic stress disorder (PTSD)
• Severe arthritis
• Fibromyalgia
• Alzheimer’s disease
• Cachexia or wasting syndrome
• Peripheral neuropathy
• Intractable pain unresponsive to ordinary medications, treatment, or surgical measures for more than 6 months
• Severe nausea
• Seizures, including those caused by epilepsy
• Severe and persistent muscle spasms, including those caused by multiple sclerosis
• Any other medical condition or its treatment approved by the Department of Health

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 2.5 ounces of usable cannabis over 14 days.
2. Home Cultivation Prohibited: Patients and caregivers are not permitted to grow marijuana at home; all medical cannabis must be obtained from state-licensed dispensaries.
3. Residency Requirement: Only Arkansas residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

4. California

California legalized medical marijuana in 1996 through the Compassionate Use Act (Proposition 215). The California Department of Public Health administers the program and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer
• Anorexia
• AIDS
• Chronic pain
• Spasticity
• Glaucoma
• Arthritis
• Migraine
• Seizures (including epilepsy)
• Severe nausea
• Persistent muscle spasms (including those associated with multiple sclerosis)
• Any other chronic or persistent medical symptom that substantially limits the ability to conduct major life activities or may cause serious harm if not alleviated.

Key Restrictions:

• Possession Limits:
  • Patients may possess amounts of medical cannabis consistent with their personal medical needs. While no specific statewide possession limits are set, local jurisdictions may establish guidelines.
• Home Cultivation:
  • Patients may cultivate up to six mature or 12 immature cannabis plants for personal medical use. Local ordinances may impose additional restrictions on cultivation.
• Residency Requirement:
  • Only California residents with valid state-issued identification are eligible to participate in the medical marijuana program. Proof of residency, such as a utility bill or rental agreement, is required when applying for a Medical Marijuana Identification Card (MMIC).
• Age Restrictions:
  • Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

5. Colorado

Colorado legalized medical marijuana in 2000 through Amendment 20. The program is administered by the Colorado Department of Public Health and Environment (CDPHE) and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• Cachexia
• Persistent muscle spasms (including those characteristic of multiple sclerosis)
• Seizures (including those characteristic of epilepsy)
• Severe nausea
• Severe pain
• Post-traumatic stress disorder (PTSD)
• Autism spectrum disorders
• Any other condition for which a physician could prescribe an opioid

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 2 ounces of usable cannabis. Patients may possess more if their physician provides documentation stating the higher amount is medically necessary.  
2. Home Cultivation: Patients may cultivate up to six marijuana plants, with no more than three being mature and flowering at any given time.  
3. Residency Requirement: Only Colorado residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

6. Connecticut

Connecticut legalized marijuana in 2021. Adults 21+ may possess up to 1.5 ounces and grow up to six plants at home. The state maintains a medical marijuana program with a broad list of qualifying conditions.

Qualifying Conditions for MMJ Card:

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

Key Restrictions:

1. Possession Limits: Medical marijuana patients may possess up to 5 ounces of cannabis.
2. Cultivation Limits: Patients aged 18 and older can cultivate up to 3 mature and 3 immature plants at home, with a household cap of 12 plants.
3. Residency Requirement: Only Connecticut residents are eligible to participate in the medical marijuana program.
4. Age Requirement: Patients must be at least 18 years old. Minors can qualify with parental consent and a designated caregiver.

 

7. Delaware

Delaware legalized medical marijuana in 2011. The program allows patients with certain conditions to obtain cannabis from state-regulated compassion centers. 

Qualifying Conditions:

• Cancer
• Alzheimer’s disease
• PTSD
• Seizure disorders
• Severe pain
• Intractable nausea
• Glaucoma 

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 6 ounces of usable cannabis.
2. Home Cultivation Prohibited: Patients and caregivers are not permitted to grow marijuana at home; all medical cannabis must be obtained from state-licensed dispensaries.
3. Residency Requirement: Only Delaware residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

8. Florida 

Florida’s medical marijuana program was established in 2016. The program is administered by the Florida Office of Medical Marijuana Use (OMMU) and allows qualified patients to obtain cannabis products from licensed Medical Marijuana Treatment Centers (MMTCs).

Qualifying Conditions:

• Cancer
• Epilepsy
• Glaucoma
• HIV/AIDS
• PTSD
• ALS (Lou Gehrig’s disease)
• Crohn’s disease
• Parkinson’s disease
• Multiple sclerosis
• Chronic nonmalignant pain (originating from a qualifying condition)
• Terminal conditions diagnosed by a physician
• Comparable conditions as determined by a certified physician

Key Restrictions:

1. Possession Limits: Patients may purchase up to a 70-day supply of medical cannabis at a time, with specific limits determined by their physician and dosage guidelines set by the OMMU. Smoking cannabis is permitted in certain forms but must be authorized by a qualified doctor.
2. Home Cultivation Prohibited: Patients and caregivers are not allowed to grow their own cannabis. All medical marijuana must be obtained through licensed MMTCs.
3. Residency Requirement: Only Florida residents with valid state-issued identification (or seasonal residents with proper documentation) can enroll in the program.
4. Age Restrictions: Patients must be at least 18 years old. Minors may qualify with parental or legal guardian consent and must have two physician certifications.

9. Georgia

Georgia has a low-THC medical cannabis program rather than a traditional medical marijuana system. The program was established in 2015 through HB 1 (Haleigh’s Hope Act) and is overseen by the Georgia Access to Medical Cannabis Commission.

Qualifying Conditions:

• Cancer (end-stage or treatment-related)
• Amyotrophic lateral sclerosis (ALS)
• Seizure disorders related to epilepsy or trauma
• Multiple sclerosis (severe or end-stage)
• Crohn’s disease
• Mitochondrial disease
• Parkinson’s disease
• Sickle cell disease
• Tourette’s syndrome
• Autism spectrum disorder (severe)
• Epidermolysis bullosa
• Alzheimer’s disease (severe or end-stage)
• AIDS (severe or end-stage)
• Peripheral neuropathy (severe or end-stage)
• Post-traumatic stress disorder (PTSD)
• Intractable pain
• Hospice care patients (any diagnosis)

Key Restrictions:

• THC Content Limit: Products are limited to low-THC oil with no more than 5% THC and at least an equal amount of CBD.
• Possession Limits: Registered patients may legally possess up to 20 fluid ounces of low-THC oil.
• No Flower or Smokable Forms: Cannabis flower and other forms of marijuana are not legal under the medical program.
• Residency Requirement: Only Georgia residents with a valid Low THC Oil Registry card are eligible.
• Home Cultivation: Not allowed.
• Age Restrictions: Minors may qualify with the consent of a parent or legal guardian who serves as the caregiver.

 

10. Hawaii

Hawaii legalized medical marijuana in 2000. The state has a well-established program with dispensaries and a patient registry. 

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• PTSD
• Severe pain
• Severe nausea
• Seizures
• Cachexia 

Key Restrictions:

1. Possession Limits: Registered patients may possess up to 4 ounces of usable cannabis at any given time.
2. Cultivation Limits: Patients or their designated caregivers may cultivate up to 10 cannabis plants, provided the grow site is registered with the state and each plant is tagged correctly.
3. Residency Requirement: Only Hawaii residents with a valid 329 registration card can participate in the medical marijuana program. 
4. Age Requirement: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

11. Illinois

Illinois implemented its medical marijuana program in 2013. The state has since expanded access and integrated the program with its adult-use cannabis system.

Qualifying Conditions:

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

Key Restrictions:

1. Possession Limits: Registered medical cannabis patients may possess up to 2.5 ounces (approximately 71 grams) of usable cannabis every 14 days.
2. Cultivation Limits: Patients with valid medical cannabis cards may cultivate up to five cannabis plants over five inches tall within their residence. The plants must be kept in an enclosed, locked space and not visible to the public. 
3. Residency Requirement: Only Illinois residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

Possession Limits: Registered medical cannabis patients may possess up to 2.5 ounces (approximately 71 grams) of usable cannabis every 14 days.

 

Cultivation Limits: Patients with valid medical cannabis cards may cultivate up to five cannabis plants over five inches tall within their residence. The plants must be kept in an enclosed, locked space and not visible to the public.

Residency Requirement: Only Illinois residents with valid state-issued identification are eligible to participate in the medical marijuana program.

 

Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

12. Louisiana

Louisiana legalized medical marijuana in 2015 through legislation, with the program becoming operational in 2019. The state’s medical cannabis program allows patients with qualifying conditions to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• Epilepsy
• Seizure disorders
• Spasticity
• Crohn’s disease
• Muscular dystrophy
• Multiple sclerosis
• Parkinson’s disease
• Post-traumatic stress disorder (PTSD)
• Intractable pain (defined as pain so chronic or severe as to otherwise warrant an opiate prescription)
• Severe muscle spasms
• Cachexia or wasting syndrome
• Autism spectrum disorders
• Any debilitating condition as determined by a physician

Key Restrictions:

1. Possession Limits: Patients may possess up to a 30-day supply of medical cannabis, as determined by their recommending physician.
2. Home Cultivation Prohibited: Patients and caregivers are not permitted to grow marijuana at home; all medical cannabis must be obtained from state-licensed dispensaries.
3. Residency Requirement: Only Louisiana residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

13. Maine

Maine legalized medical marijuana in 1999. The program allows patients to access cannabis through dispensaries or home cultivation. 

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• PTSD
• Chronic pain
• Seizure disorders
• Nausea

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 2.5 ounces of usable cannabis at any given time.
2. Cultivation Limits: Patients or their designated caregivers may cultivate up to 6 mature cannabis plants, 12 immature plants, and an unlimited number of seedlings for personal medical use.
3. Residency Requirement: Only Maine residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

14. Maryland

Maryland legalized medical marijuana in 2013, with the program becoming operational in December 2017. The state’s medical cannabis program allows patients with qualifying conditions to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Anorexia
• Cachexia
• Glaucoma
• Post-traumatic stress disorder (PTSD)
• Seizures
• Severe nausea
• Severe or chronic pain
• Severe or persistent muscle spasms
• Wasting syndrome
• Any other severe chronic medical condition unresponsive to treatment

Key Restrictions:

1. Possession Limits: Medical cannabis patients may possess up to 120 grams of usable cannabis or 36 grams of THC-infused products within a 30-day period, as determined by their certifying provider.
2. Home Cultivation: Registered medical cannabis patients aged 21 or older may cultivate up to two cannabis plants at home, out of public view. A household may cultivate a maximum of four plants, regardless of the number of qualifying patients residing there.
3. Residency Requirement: Only Maryland residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

15. Massachusetts

Massachusetts legalized medical marijuana in 2012 through a voter-approved ballot initiative. The Cannabis Control Commission administers the program and allows patients with qualifying conditions to obtain cannabis products from state-licensed Medical Marijuana Treatment Centers (MTCs).

Qualifying Conditions:

• Amyotrophic Lateral Sclerosis (ALS)
• Cancer
• Crohn’s disease
• Glaucoma
• HIV/AIDS
• Hepatitis C
• Multiple Sclerosis
• Parkinson’s disease
• Other debilitating conditions as determined in writing by a certified physician

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to a 60-day supply of cannabis, defined as up to 10 ounces of usable marijuana or its equivalent in other forms.
2. Home Cultivation: Patients may apply for a Hardship Cultivation Registration, allowing them or their designated caregiver(s) to cultivate a limited number of plants sufficient to maintain a 60-day supply for personal medical use. Cultivation must occur in an enclosed, locked area not visible from public spaces.
3. Residency Requirement: Only Massachusetts residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with the approval of two Massachusetts-licensed certifying physicians who diagnose the patient with a debilitating life-limiting illness or condition.

 

16. Michigan

Michigan legalized medical marijuana in 2008 through the Michigan Medical Marihuana Act (MMMA). The program is administered by the Michigan Medical Marijuana Program (MMMP) under the Cannabis Regulatory Agency (CRA). It allows patients with qualifying conditions to obtain cannabis products from state-licensed dispensaries or through registered caregivers.

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• Hepatitis C
• Amyotrophic Lateral Sclerosis (ALS)
• Crohn’s disease
• Agitation of Alzheimer’s disease
• Nail patella
• Post-traumatic stress disorder (PTSD)
• Arthritis (including rheumatoid arthritis)
• Autism
• Chronic pain
• Cerebral palsy
• Colitis
• Inflammatory bowel disease
• Obsessive-compulsive disorder (OCD)
• Parkinson’s disease
• Seizures
• Severe and chronic pain
• Severe nausea
• Severe and persistent muscle spasms
• Spinal cord injury
• Wasting syndrome (cachexia)
• Any other medical condition or its treatment that produces one or more of the following: cachexia or wasting syndrome; severe and chronic pain; severe nausea; seizures (including but not limited to those characteristic of epilepsy); or severe and persistent muscle spasms (including but not limited to those characteristic of multiple sclerosis)

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 2.5 ounces of usable cannabis.
2. Home Cultivation: Patients or their designated caregivers may cultivate up to 12 marijuana plants for personal medical use.
3. Residency Requirement: Only Michigan residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

17. Minnesota

Minnesota legalized medical marijuana in 2014 through the Minnesota Medical Cannabis Act. The program is administered by the Minnesota Department of Health’s Office of Medical Cannabis and allows patients with qualifying conditions to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer (with associated symptoms such as severe/chronic pain, nausea, or severe vomiting)
• Glaucoma
• HIV/AIDS
• Tourette’s syndrome
• Amyotrophic lateral sclerosis (ALS)
• Seizure disorders
• Multiple sclerosis (MS)
• Crohn’s disease
• Terminal illness with a life expectancy of less than one year (if the illness or its treatment produces severe/chronic pain, nausea or severe vomiting, or cachexia)
• Intractable pain
• Post-traumatic stress disorder (PTSD)
• Autism spectrum disorder
• Obstructive sleep apnea
• Alzheimer’s disease
• Chronic pain
• Age-related macular degeneration
• Sickle cell disease
• Chronic motor or vocal tic disorder
• Irritable bowel syndrome (IBS)
• Obsessive-compulsive disorder (OCD)

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may purchase up to 2.5 ounces of medical cannabis flower every 14 days from licensed providers.
2. Home Cultivation: Patients aged 21 or older may cultivate up to eight cannabis plants at their primary residence, with no more than four being mature, flowering plants. Cultivation must occur in an enclosed, locked space not visible to the public.
3. Residency Requirement: Only Minnesota residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

18. Mississippi 

Mississippi legalized medical marijuana in 2022 through the Mississippi Medical Cannabis Act (SB 2095). The program is administered by the Mississippi Medical Cannabis Program (MMCP) under the Mississippi State Department of Health. It allows patients with qualifying conditions to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer
• Parkinson’s disease
• Huntington’s disease
• Muscular dystrophy
• Glaucoma
• Spastic quadriplegia
• HIV/AIDS
• Hepatitis
• Amyotrophic lateral sclerosis (ALS)
• Crohn’s disease
• Ulcerative colitis
• Sickle cell anemia
• Alzheimer’s disease
• Agitation of dementia
• Post-traumatic stress disorder (PTSD)
• Autism
• Pain refractory to appropriate opioid management
• Diabetic/peripheral neuropathy
• Spinal cord disease or severe injury

Additionally, any chronic, terminal, or debilitating disease or medical condition or its treatment that produces one or more of the following qualifies:

Key Restrictions:

1. Possession Limits: Patients may purchase up to 3.5 grams of cannabis flower or up to one gram of cannabis concentrate per day, with a maximum of three ounces of cannabis flower per month. Flower is capped at 30% THC, and concentrated products are capped at 60% THC.
2. Home Cultivation Prohibited: Patients and caregivers are not permitted to grow marijuana at home; all medical cannabis must be obtained from state-licensed dispensaries.
3. Residency Requirement: Only Mississippi residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

19. Missouri

Missouri legalized medical marijuana in 2018 through a voter-approved constitutional amendment. The program is administered by the Missouri Department of Health and Senior Services (DHSS) and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer
• Epilepsy
• Glaucoma
• Intractable migraines (unresponsive to other treatments)
• Chronic medical conditions causing severe, persistent pain or persistent muscle spasms, including but not limited to those associated with multiple sclerosis, seizures, Parkinson’s disease, and Tourette’s syndrome
• Debilitating psychiatric disorders, including PTSD (diagnosed by a state-licensed psychiatrist)
• HIV/AIDS
• Any chronic medical condition usually treated with a prescription medication that could lead to physical or psychological dependence, when a physician determines that medical use of marijuana could be effective and serve as a safer alternative.
• Terminal illness
• Other chronic, debilitating, or medical conditions, including but not limited to hepatitis C, ALS, inflammatory bowel disease, Crohn’s disease, Huntington’s disease, autism, neuropathies, sickle cell anemia, agitation of Alzheimer’s disease, cachexia, and wasting syndrome, as determined by a physician

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may purchase up to 6 ounces of dried, unprocessed marijuana or its equivalent in 30 days. Patients may possess up to 8 ounces, and those with a cultivation license may possess up to 12 ounces, provided that amounts over 8 ounces are kept at the cultivation site.
2. Home Cultivation: Patients or their designated caregivers may cultivate up to six flowering marijuana plants, six nonflowering plants 14 inches tall or more, and six nonflowering plants under 14 inches tall in a single enclosed, locked facility. Two qualifying patients may share a cultivation space, with a maximum of 12 flowering plants
3. Residency Requirement: Only Missouri residents with valid state-issued identification can participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

20. Montana

Montana legalized medical marijuana in 2004 through Initiative I-148. The program is administered by the Montana Department of Revenue’s Cannabis Control Division and allows patients with qualifying conditions to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• Cachexia or wasting syndrome
• Severe chronic pain
• Intractable nausea or vomiting
• Epilepsy or intractable seizure disorder
• Multiple sclerosis
• Crohn’s disease
• Painful peripheral neuropathy
• Post-traumatic stress disorder (PTSD)
• Admittance into hospice care
• A central nervous system disorder resulting in chronic, painful spasticity or muscle spasms

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 1 ounce of usable cannabis. They can purchase up to 5 ounces per month, with a daily limit of 1 ounce. Patients may petition for an exception to the monthly limit if their physician confirms the need for a higher amount.
2. Home Cultivation: Patients or their designated caregivers may cultivate up to four mature marijuana plants and four seedlings in a private, locked area out of public view. Recreational users can grow up to two mature plants and two seedlings.
3. Residency Requirement: Only Montana residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver. Two physicians must provide a recommendation for minors unless the treating physician is an epileptologist, neurologist, or oncologist.

 

21. Nevada

Nevada legalized medical marijuana in 2000 through a voter-approved constitutional amendment. The program is administered by the Nevada Division of Public and Behavioral Health (DPBH) and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• AIDS
• Cancer
• Glaucoma
• Post-traumatic stress disorder (PTSD)
• Cachexia (wasting syndrome)
• Persistent muscle spasms (including multiple sclerosis)
• Seizures (including epilepsy)
• Severe nausea
• Severe pain
• Additional conditions are subject to approval by the Division

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 2.5 ounces of usable cannabis within 14 days.
2. Home Cultivation: Patients may cultivate up to 12 mature cannabis plants if they reside more than 25 miles from a licensed dispensary, are unable to travel due to illness or lack of transportation, or if the dispensary does not carry the specific strain required.
3. Residency Requirement: Only Nevada residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

22. New Hampshire

New Hampshire legalized medical marijuana in 2013 through House Bill 573. The state’s Therapeutic Cannabis Program (TCP) is administered by the New Hampshire Department of Health and Human Services (DHHS). It allows qualified patients to obtain cannabis from state-licensed Alternative Treatment Centers (ATCs).

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• Hepatitis C
• ALS (Lou Gehrig’s disease)
• Muscular dystrophy
• Crohn’s disease
• Multiple sclerosis
• Chronic pancreatitis
• Spinal cord injury or disease
• Traumatic brain injury
• Epilepsy
• Lupus
• Parkinson’s disease
• Alzheimer’s disease
• PTSD
• Moderate to severe chronic pain
• Severe nausea
• Seizures
• Severe or persistent muscle spasms
• Cachexia or wasting syndrome
• Any qualifying symptom that severely limits function or causes significant discomfort, in combination with a listed condition

Key Restrictions:

1. Possession Limits: Registered patients may possess up to 2 ounces of usable cannabis.
2. Home Cultivation Prohibited: Patients and caregivers may not grow marijuana at home. All cannabis must be obtained from licensed Alternative Treatment Centers (ATCs).
3. Residency Requirement: Only New Hampshire residents with valid state-issued identification are eligible for the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors may qualify with parental consent and a designated caregiver who is a legal guardian.

 

23. New Jersey

New Jersey legalized medical marijuana in 2010 through the Compassionate Use Medical Marijuana Act. The program is administered by the New Jersey Cannabis Regulatory Commission (CRC) and allows qualified patients to obtain cannabis products from state-licensed Alternative Treatment Centers (ATCs).

Qualifying Conditions:

• Amyotrophic lateral sclerosis (ALS)
• Anxiety
• Cancer (includes associated chronic pain and/or severe nausea)
• Chronic pain
• Crohn’s disease
• Dysmenorrhea (menstrual cramps)
• Epilepsy
• Glaucoma
• HIV/AIDS (includes associated chronic pain and/or severe nausea)
• Inflammatory bowel disease (IBD)
• Migraines
• Multiple sclerosis
• Muscular dystrophy
• Opioid use disorder
• Post-traumatic stress disorder (PTSD)
• Seizure disorder, including epilepsy
• Terminal illness with a prognosis of less than 12 months to live
• Tourette syndrome 

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may purchase up to 3 ounces of usable cannabis per month.
2. Home Cultivation Prohibited: Patients and caregivers are not permitted to grow marijuana at home; all medical cannabis must be obtained from state-licensed dispensaries.
3. Residency Requirement: Only New Jersey residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

  

24. New Mexico

New Mexico legalized medical marijuana in 2007 through the Lynn and Erin Compassionate Use Act. The program is administered by the New Mexico Department of Health (NMDOH) and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Alzheimer’s disease
• Amyotrophic lateral sclerosis (ALS)
• Anxiety disorder
• Autism spectrum disorder
• Cancer
• Crohn’s disease
• Damage to the nervous tissue of the spinal cord (with objective neurological indication of intractable spasticity)
• Epilepsy/seizure disorder
• Friedreich’s ataxia
• Glaucoma
• Hepatitis C infection, currently receiving antiviral therapy
• HIV/AIDS
• Hospice care
• Huntington’s disease
• Inclusion body myositis
• Inflammatory autoimmune-mediated arthritis
• Insomnia
• Intractable nausea/vomiting
• Lewy body disease
• Multiple sclerosis
• Obstructive sleep apnea
• Opioid use disorder
• Painful peripheral neuropathy
• Parkinson’s disease
• Post-traumatic stress disorder (PTSD)
• Severe anorexia/cachexia
• Severe chronic pain
• Spasmodic torticollis (cervical dystonia)
• Spinal muscular atrophy
• Ulcerative colitis  

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may purchase up to 15 ounces (425 units) of usable cannabis within 90 days.  
2. Home Cultivation: Patients or their designated caregivers may cultivate up to 16 cannabis plants, with a maximum of four mature (flowering) plants and 12 immature (non-flowering) plants, provided they obtain a Personal Production License (PPL) from the NMDOH.
3. Residency Requirement: Only New Mexico residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

25. New York

New York legalized medical marijuana in 2014 through the Compassionate Care Act. The program is administered by the Office of Cannabis Management (OCM) and allows qualified patients to obtain cannabis products from state-licensed dispensaries. 

Qualifying Conditions:

As of January 24, 2022, New York no longer maintains a specific list of qualifying medical conditions. Instead, registered healthcare providers have the discretion to certify patients for medical cannabis use if they determine that the patient’s condition may benefit from it.  

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may purchase and possess up to a 60-day supply of cannabis products, as determined by their certifying healthcare provider.
2. Home Cultivation: Certified patients and designated caregivers aged 21 or older may cultivate up to six cannabis plants (three mature and three immature) per person, with a maximum of twelve plants per household. Cultivation must occur in a private residence and in an enclosed area not visible to the public.
3. Residency Requirement: Only New York residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

26. North Dakota

North Dakota legalized medical marijuana in 2016 through Measure 5, known as the North Dakota Compassionate Care Act. The North Dakota Department of Health and Human Services (NDHHS) administers the program and allows qualified patients to obtain cannabis products from state-licensed dispensaries. 

Qualifying Conditions:

• Agitation from Alzheimer’s disease
• Amyotrophic lateral sclerosis (ALS)
• Anorexia nervosa
• Anxiety disorder
• Autism spectrum disorder
• Brain injury
• Bulimia nervosa
• Cachexia or wasting syndrome
• Cancer
• Chronic or debilitating disease
• Crohn’s disease
• Ehlers-Danlos syndrome
• Endometriosis
• Epilepsy
• Fibromyalgia
• Glaucoma
• Hepatitis C
• HIV/AIDS
• Interstitial cystitis
• Intractable nausea
• Migraine
• Multiple sclerosis
• Neuropathy
• Post-traumatic stress disorder (PTSD)
• Rheumatoid arthritis
• Seizures
• Severe and persistent muscle spasms
• Severe debilitating pain
• Spinal stenosis
• Tourette syndrome
• Terminal illness 

Key Restrictions:

1. Possession Limits:
   1. Standard Limit: Patients aged 19 and older may purchase up to 2.5 ounces of dried leaves and flowers within 30 days and possess up to 3 ounces.
   2. Enhanced Limit: As authorized by their healthcare provider, patients with cancer may purchase up to 6 ounces within 30 days and possess up to 7.5 ounces.
   3. Other Products: All patients may purchase up to 6,000 mg of THC in different forms (e.g., tinctures, capsules, patches, topicals) within 30 days.
2. Home Cultivation: Home cultivation is prohibited.
3. Residency Requirement: Only North Dakota residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 19 years old to apply independently. Minors under 19 can qualify with parental consent and the designation of a legal guardian as a caregiver. 

 

27. Ohio

Ohio legalized medical marijuana in 2016 through House Bill 523. The program is administered by the Ohio Medical Marijuana Control Program (OMMCP) and allows qualified patients to obtain cannabis products from state-licensed dispensaries. 

Qualifying Conditions:

• Acquired immune deficiency syndrome (AIDS)
• Alzheimer’s disease
• Amyotrophic lateral sclerosis (ALS)
• Cancer
• Chronic traumatic encephalopathy (CTE)
• Crohn’s disease
• Epilepsy or another seizure disorder
• Fibromyalgia
• Glaucoma
• Hepatitis C
• Inflammatory bowel disease (IBD)
• Multiple sclerosis (MS)
• Pain that is chronic and severe or intractable
• Parkinson’s disease
• Positive status for HIV
• Post-traumatic stress disorder (PTSD)
• Sickle cell anemia
• Spinal cord disease or injury
• Tourette’s syndrome
• Traumatic brain injury (TBI)
• Ulcerative colitis
• Any other disease or condition added by the State Medical Board of Ohio  

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to a 90-day supply of cannabis, with specific amounts determined by the form and THC content of the product as regulated by the Ohio Board of Pharmacy.
2. Home Cultivation: Home cultivation is prohibited for medical marijuana patients. However, as of December 7, 2023, adults aged 21 and over may cultivate up to six cannabis plants per person, with a maximum of 12 plants per household, for personal use under the recreational cannabis laws.
3. Residency Requirement: Only Ohio residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

28. Oklahoma

Oklahoma legalized medical marijuana in 2018 through State Question 788. The program is administered by the Oklahoma Medical Marijuana Authority (OMMA) and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

Unlike many states, Oklahoma does not have a specific list of qualifying medical conditions. Instead, it is at the discretion of a licensed physician to determine if medical marijuana is appropriate for a patient’s condition.

Key Restrictions:

1. Possession Limits:
   1. Up to 3 ounces of marijuana on their person
   2. Up to 8 ounces of marijuana in their residence
   3. Up to 1 ounce of concentrated marijuana
   4. Up to 72 ounces of edible marijuana
   5. Up to 6 mature marijuana plants
   6. Up to 6 seedling plants
2. Home Cultivation: Patients with a valid medical marijuana license may cultivate up to six mature plants and six seedlings at their private residence, provided they are not visible from a public place.
3. Residency Requirement: Only Oklahoma residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with the approval of two physicians and the consent of a parent or legal guardian.

 

29. Oregon

Oregon legalized medical marijuana in 1998 through Ballot Measure 67. The program is administered by the Oregon Health Authority (OHA) under the Oregon Medical Marijuana Program (OMMP) and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• Post-traumatic stress disorder (PTSD)
• A degenerative or pervasive neurological condition
• A medical condition or treatment that produces one or more of the following:
  • Cachexia (wasting syndrome)
  • Severe pain
  • Severe nausea
  • Seizures, including epilepsy
  • Persistent muscle spasms, including those caused by multiple sclerosis

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 24 ounces of usable cannabis.
2. Home Cultivation: Patients may cultivate up to 6 mature marijuana plants and 12 immature plants at their residence. Grow sites must be registered with the OMMP.
3. Residency Requirement: Only Oregon residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

30. Pennsylvania

Pennsylvania legalized medical marijuana in 2016 through the Medical Marijuana Act (Act 16). The Pennsylvania Department of Health administers the program and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Amyotrophic lateral sclerosis (ALS)
• Anxiety disorders
• Autism
• Cancer, including remission therapy
• Chronic Hepatitis C
• 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
• Dyskinetic and spastic movement disorders
• Epilepsy
• Glaucoma
• HIV/AIDS
• Huntington’s disease
• Inflammatory bowel disease
• Intractable seizures
• Multiple sclerosis
• Neurodegenerative diseases
• Neuropathies
• Opioid use disorder for which conventional therapeutic interventions are ineffective or contraindicated, or for which adjunctive therapy is indicated in combination with primary therapeutic interventions
• 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
• Terminal illness
• Tourette syndrome

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to a 30-day supply of cannabis products, as determined by their certifying physician.
2. Home Cultivation Prohibited: Patients and caregivers are not permitted to grow marijuana at home; all medical cannabis must be obtained from state-licensed dispensaries.
3. Residency Requirement: Only Pennsylvania residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

31. Rhode Island

Rhode Island legalized medical marijuana in 2006 through the Edward O. Hawkins and Thomas C. Slater Medical Marijuana Act. The Rhode Island Department of Health administers the program and allows qualified patients to obtain cannabis products from state-licensed compassion centers.

Qualifying Conditions:

• Cancer
• Glaucoma
• HIV/AIDS
• Hepatitis C
• Alzheimer’s disease (agitation-related)
• Autism
• Cachexia or wasting syndrome
• Chronic pain
• Crohn’s disease
• Epilepsy and other seizure disorders
• Multiple sclerosis
• Persistent muscle spasms
• Post-traumatic stress disorder (PTSD)
• Severe nausea

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 2.5 ounces of usable cannabis.
2. Home Cultivation: Patients and caregivers may cultivate up to 12 mature and 12 immature plants, provided they obtain a Plant Tag Certificate from the Office of Cannabis Regulation. Cultivation must occur indoors in a secure, enclosed area not visible to the public.
3. Residency Requirement: Only Rhode Island residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a custodial parent or legal guardian as a caregiver.

32. South Dakota

South Dakota legalized medical marijuana in 2020 through Initiated Measure 26, which was approved by 70% of voters. The South Dakota Department of Health administers the program and allows qualified patients to obtain cannabis products from state-licensed dispensaries. 

Qualifying Conditions:

Patients may qualify for medical marijuana if they have a debilitating medical condition that causes one or more of the following:

• Cachexia or wasting syndrome
• Severe or debilitating pain
• Severe nausea
• Seizures
• Severe and persistent muscle spasms, including those characteristic of multiple sclerosis 

Specific conditions that may qualify include:

• Cancer
• Glaucoma
• HIV/AIDS
• Amyotrophic lateral sclerosis (ALS)
• Crohn’s disease
• Fibromyalgia
• Multiple sclerosis (MS)
• Post-traumatic stress disorder (PTSD)
• Epilepsy
• Severe or chronic pain 

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 3 ounces of cannabis.
2. Home Cultivation: Patients and caregivers may cultivate up to two mature cannabis plants and two immature plants at their residence. Cultivation must occur in a secure, enclosed area not visible to the public.  
3. Residency Requirement: Only South Dakota residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

33. Texas

Texas operates a very limited medical cannabis program, known as the Compassionate Use Program (CUP), created in 2015 through SB 339 and managed by the Texas Department of Public Safety.

Qualifying Conditions:

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

Key Restrictions:

• THC Content Limit: Products must contain no more than 1% THC by weight.
• Method of Consumption: Only ingestible products (e.g., tinctures, oils, capsules) are permitted. Smoking and vaping are prohibited.
• Possession Limits: No fixed statutory limit, but physicians provide prescription guidance based on medical need.
• Home Cultivation: Not permitted under any circumstances.
• Residency Requirement: Patients must be Texas residents and registered in the CUP system.
• Age Restrictions: No minimum age. Minors can participate with guardian approval and oversight.

 

34. Utah

Utah legalized medical marijuana in 2018 through the Utah Medical Cannabis Act (HB 3001). The program is administered by the Utah Department of Health and Human Services (DHHS) and allows qualified patients to obtain cannabis products from state-licensed medical cannabis pharmacies. 

Qualifying Conditions:

• Alzheimer’s disease
• Amyotrophic lateral sclerosis (ALS)
• Autism spectrum disorder
• Cachexia (wasting syndrome)
• Cancer
• Crohn’s disease or ulcerative colitis
• Epilepsy or debilitating seizures
• HIV/AIDS
• Multiple sclerosis or persistent and debilitating muscle spasms
• Persistent nausea
• Pain lasting longer than two weeks that is not adequately managed despite treatment attempts
• Post-traumatic stress disorder (PTSD) that is being treated or monitored by a licensed mental health therapist 

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to a 30-day supply of cannabis products, which equates to no more than 113 grams (approximately 4 ounces) of unprocessed cannabis flower and no more than 20 grams of total composite THC in all other medicinal dosage forms.
2. Home Cultivation Prohibited: Patients and caregivers are not permitted to grow marijuana at home; all medical cannabis must be obtained from state-licensed medical cannabis pharmacies.
3. Residency Requirement: Only Utah residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors under 18 can qualify with approval from the Compassionate Use Board and the designation of a parent or legal guardian as a caregiver.

 

35. Vermont

Vermont legalized medical marijuana in 2004 through Senate Bill 76. The Vermont Cannabis Control Board administers the program and allows qualified patients to obtain cannabis products from state-licensed dispensaries. 

Qualifying Conditions:

• Cancer
• Multiple sclerosis
• HIV/AIDS
• Glaucoma
• Crohn’s disease
• Parkinson’s disease
• Post-traumatic stress disorder (PTSD)
• Ulcerative colitis
• Medical conditions that produce one or more of the following symptoms:
  • Cachexia or wasting syndrome
  • Chronic pain
  • Severe nausea
  • Seizures

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to 2 ounces of usable cannabis.  
2. Home Cultivation: Patients may cultivate up to 9 cannabis plants, with no more than 2 being mature at any given time.
3. Residency Requirement: Only Vermont residents with valid state-issued identification are eligible to participate in the medical marijuana program.  
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

36. Virginia

Virginia legalized medical marijuana in 2017 through legislation that allowed the use of cannabis oils for specific medical conditions. The program is administered by the Virginia Cannabis Control Authority (CCA) and permits qualified patients to obtain cannabis products from state-licensed pharmaceutical processors. 

Qualifying Conditions:

Virginia law does not specify a list of qualifying medical conditions. Instead, any diagnosed condition may be eligible if a registered healthcare practitioner determines that medical cannabis would benefit the patient.

Key Restrictions:

1. Possession Limits:
   • Patients may possess up to a 90-day supply of medical cannabis products as determined by their certifying physician.
   • For botanical cannabis, patients may obtain up to 4 ounces per 30-day period.  
2. Home Cultivation:
   • Patients are permitted to cultivate up to four marijuana plants per household for personal use.
   • Plants must not be visible from public spaces and must be tagged with the grower’s name, driver’s license or ID number, and a notation that the plant is being grown for personal use.
3. Residency Requirement:
   • Only Virginia residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions:
   • Patients must be at least 18 years old.
   • Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

37. Washington

Washington legalized medical marijuana in 1998 through Initiative 692. The program is administered by the Washington State Department of Health and allows qualified patients to obtain cannabis products from state-licensed dispensaries.

Qualifying Conditions:

• Cancer
• HIV/AIDS
• Multiple sclerosis
• Epilepsy or other seizure disorders
• Spasticity disorders
• Glaucoma
• Crohn’s disease
• Hepatitis C with debilitating nausea or intractable pain unrelieved by standard treatments or medications
• Diseases, including anorexia, which result in nausea, vomiting, wasting, appetite loss, cramping, or muscle spasms
• Chronic renal failure requiring hemodialysis
• Post-traumatic stress disorder (PTSD)
• Traumatic brain injury
• Intractable pain unrelieved by standard treatments or medications

Key Restrictions:

1. Possession Limits:
   Registered medical marijuana patients may possess up to:
   • 3 ounces of usable marijuana
   • 48 ounces of marijuana-infused product in solid form
   • 216 ounces of marijuana-infused product in liquid form
   • 21 grams of marijuana concentrates
2. Home Cultivation:
   • Patients entered in the state’s voluntary patient database may cultivate up to 6 plants for personal medical use and possess up to 8 ounces of usable marijuana produced from their plants.
   • If a healthcare professional determines that the patient’s medical needs exceed these amounts, they may authorize up to 15 plants, yielding up to 16 ounces of usable marijuana.
   • Patients not entered into the database may grow up to 4 plants and possess up to 6 ounces of usable marijuana.  
3. Residency Requirement:
   • Only Washington residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions:
   • Patients must be at least 18 years old.
   • Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

38. Washington, D.C. 

Washington, D.C. legalized medical marijuana in 1998 through Initiative 59, though implementation was delayed until 2010 due to congressional interference. The program is administered by the Alcoholic Beverage and Cannabis Administration (ABCA) and allows qualified patients to obtain cannabis products from licensed dispensaries. 

Qualifying Conditions:

• As of July 6, 2022, individuals aged 21 and older can self-certify their need for medical cannabis without a healthcare provider’s recommendation.
• Individuals aged 18 to 20 must obtain a recommendation from a DC-licensed healthcare provider.

Key Restrictions:

1. Possession Limits:
   • Registered medical marijuana patients may possess up to 8 ounces of cannabis within a 30-day period.
2. Home Cultivation:
   • Adults aged 21 and over may cultivate up to six cannabis plants at home, with no more than three being mature at any given time.
3. Residency Requirement:
   • Only District of Columbia residents with valid state-issued identification are eligible to participate in the medical marijuana program.
4. Age Restrictions:
   • Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

39. West Virginia

West Virginia legalized medical marijuana in 2017 through the Medical Cannabis Act (Senate Bill 386). The program is administered by the West Virginia Office of Medical Cannabis (OMC) and allows qualified patients to obtain cannabis products from state-licensed dispensaries. 

Qualifying Conditions:

• Amyotrophic lateral sclerosis (ALS)
• Cancer
• Crohn’s disease
• Damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity
• Epilepsy
• HIV/AIDS
• Huntington’s disease
• Intractable seizures
• Multiple sclerosis (MS)
• Neuropathies
• Parkinson’s disease
• Post-traumatic stress disorder (PTSD)
• Severe chronic or intractable pain
• Sickle cell anemia
• Terminal illness  

Key Restrictions:

1. Possession Limits: Registered medical marijuana patients may possess up to a 30-day supply of cannabis products, as determined by their certifying physician.  
2. Home Cultivation Prohibited: Patients and caregivers are not permitted to grow marijuana at home; all medical cannabis must be obtained from state-licensed dispensaries.
3. Residency Requirement: Only West Virginia residents with valid state-issued identification can participate in the medical marijuana program.
4. Age Restrictions: Patients must be at least 18 years old. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

40. Wisconsin 

(limited CBD-only law)

Wisconsin enacted a limited medical cannabis law in 2014, permitting the use of cannabidiol (CBD) oil for seizure disorders. In 2017, the law was expanded to allow CBD use for any medical condition, provided the CBD has no psychoactive effect and the patient has a physician’s written certification.  

Qualifying Conditions:

• Initially limited to seizure disorders.
• Expanded in 2017 to include any medical condition for which a physician recommends CBD.  

Key Restrictions:

1. Possession Limits: No specific possession limits are defined; however, the CBD must be in a form without a psychoactive effect.  
2. Home Cultivation Prohibited: Patients and caregivers are not permitted to cultivate cannabis; all CBD must be obtained through legal channels.  
3. Residency Requirement: Under this law, only Wisconsin residents with valid state-issued identification and a physician’s certification can possess CBD.  
4. Age Restrictions: The law does not outline specific age restrictions; however, minors would require parental consent and a physician’s certification to use CBD.

 

41. Wyoming 

(limited CBD-only law)

Wyoming enacted a limited CBD-only law in 2015, permitting the use of hemp-derived cannabidiol (CBD) products for specific medical conditions. The Wyoming Department of Health administers the program and allows qualified patients to possess CBD products under certain conditions.

Qualifying Conditions:

• Intractable epilepsy or seizure disorders that do not respond to other treatment options.  

Key Restrictions:

1. Possession Limits: Patients must possess a “hemp extract identification card issued by the Wyoming Department of Health to possess high-CBD extract products legally.  
2. Home Cultivation Prohibited: Patients and caregivers are not permitted to grow cannabis at home; all CBD products must be obtained through legal channels.
3. Residency Requirement: Only Wyoming residents with valid state-issued identification and a neurologist’s recommendation can participate in the CBD program.
4. Age Restrictions: Patients must be 18 to apply for the hemp extract registration card. Minors can qualify with parental consent and the designation of a legal guardian as a caregiver.

 

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