State Medical Marijuana Laws

NONMEDICAL/ADULT-USE UPDATE: As of June 22, 2021, 18 states, two territories and the District of Columbia have enacted legislation to regulate cannabis for nonmedical use.

  • Voters in Arizona, Montana, New Jersey and South Dakota approved measures to regulate cannabis for nonmedical use. 

  • On Feb. 8, 2021, South Dakota Circuit Judge Christina Klinger ruled that the measure was unconstitutional. The decision is being appealed as of March 31, 2021.

  • New Jersey’s governor signed enacting legislation on March 1, 2021.

  • New York’s legislature and governor enacted AB 1248/SB 854 on March 31, 2021. 

  • The Virginia General Assembly passed legislation on Feb. 27 and approved the governor’s amendments on April 7, 2021. 

  • The New Mexico legislature passed legislation on March 31 and the governor signed it on April 12, 2021.

  • The Connecticut General Assembly passed SB 1201 on June 17 and the governor signed it on June 22, 2021.

  • These actions bring the number of states with nonmedical (adult-use) regulated cannabis to 18, plus two territories and the District of Columbia (D.C. does not regulate nonmedical sales).

  • This total does NOT include South Dakota’s court-over-turned measure, which is pending appeal.  

Please see Table 1 below for more information.

Table 1. State Medical Marijuana/Cannabis Program Laws


(click state name to jump to program information)

Statutory Language (year

Patient Registry or ID cards

Allows Dispensaries

Specifies Conditions

Recognizes Patients from other states State Allows for Retail Sales/Nonmedical (Adult) Use


SB46 (2021)






Measure 8 (1998) SB 94 (1999) Statute Title 17, Chapter 37




No, but adults 21 and older may purchase at nonmedical retail dispensaries. Ballot Measure 2 (2014) Marijuana Regulations  
Arizona Proposition 203 (2010) Yes Yes Yes Yes, for AZ-approved conditions, but not for dispensary purchases. Proposition 207 (2020)
Arkansas Issue 6 (2016) Yes  Yes Yes Yes
California Proposition 215 (1996)  SB 420 (2003) Yes Yes (cooperatives and collectives) No No Proposition 64 (2016)
Colorado   Medical program info   -Nonmedical use info Amendment 20 (2000) Yes Yes Yes No Amendment 64 (2012) Task Force Implementation Recommendations (2013)
Analysis of CO Amendment 64 (2013)
Colorado Marijuana Sales and Tax Reports 2014 “Edibles” regulation measure FAQ about CO cannabis laws by the Denver Post.   
Connecticut HB 5389 (2012)
Nonmedical use legislation SB 1201 (2021)


Yes   SB 1201 (2021)
Delaware SB 17 (2011) Yes Yes Yes  Yes, for DE-approved conditions.  
District of Columbia Initiative 59 (1998)  L18-0210 (2010) Yes Yes Yes   Initiative 71 (2014)  
Florida Amendment 2 (2016) Yes Yes Yes No  
Guam Proposal 14A Approved in Nov. 2014, fully operational.- home growing currently allowed until dispensaries open Draft rules released in July 2015   Nonmedical use- 2019 Bill No. 32-35 signed by governor in April, 2019 Yes Yes Yes No Yes. Nonmedical use- 2019 Bill No. 32-35 signed by governor in April, 2019
Hawaii SB 862 (2000) Yes Yes Yes No  
Illinois HB 1 (2013) Eff. 1/1/2014 Rules   
Nonmedical use legalization SB 0007 bill passed legislature May, 2019, signed by governor June 25, 2019, Effective Jan. 1, 2020.
Yes Yes Yes No Measure approved by legislature in May, 2019, signed by governor June 25, 2019. Effective Jan. 1, 2020.
Louisiana SB 271 (2017) (not yet in effect) No Yes Yes No  
Maine Question 2 (1999)  LD 611 (2002)   Question 5 (2009)   LD 1811 (2010) LD 1296 (2011) Yes Yes Yes Yes, but not for dispensary purchases. Adults 21 and older may purchase from nonmedical retail dispensaries. Question 1 (2016) page 4 Chapter 409 (2018) 
Maryland HB 702 (2003) SB 308 (2011) HB 180/SB 580 (2013)  HB 1101- Chapter 403 (2013) SB 923 (signed 4/14/14)
HB 881- similar to SB 923
Yes Yes  Yes No  
Massachusetts Question 3 (2012)
Regulations (2013)
Yes Yes Yes No Question 4 (2016)
Michigan Proposal 1 (2008) Yes Yes Yes Yes, for legal protection of possession, but not for dispensary purchases. Adults 21 and older may purchase from nonmedical retail dispensaries. Proposal 18-1 (2018)
Minnesota SF 2471, Chapter 311 (2014)  Yes Yes, limited, liquid extract products only Yes No  
*overturned May 14, 2021

Initiative 65 (2020)

News: Mississippi Supreme Court Overturns Medical Marijuana Amendment 65

Yes Yes Yes Yet to be determined  
Missouri Amendment 2 (2018) Yes Yes Yes Yes  
Montana Initiative 148 (2004) SB 423 (2011)
Initiative 182 (2016)


Yes  Yes Yes   Yes No     Initiative 190 (2020)
Nevada Question 9 (2000) NRS 453A NAC 453A Yes Yes Yes  Yes, if the other state’s program are “substantially similar.” Patients must fill out Nevada paperwork. Adults 21 and older may purchase at nonmedical retail dispensaries. Question 2 (2016) page 25
New Hampshire HB 573 (2013)
HB 89 (2021)
Yes Yes Yes Yes, with a note from their home state, but they cannot purchase through dispensaries.  
New Jersey SB 119 (2009)  
Program information
Yes  Yes  Yes  No Public Question 1 passed by voters in 2020 to allow legislature to enact legislation
NJ AB 21 passed legislature, signed by governor March 1, 2021
New Mexico SB 523 (2007) 
Medical Cannabis Program
Yes  Yes  Yes  No HB 2 Cannabis regulation act passed legislature March 31, 2021 and signed by governor on 4/12/21.


New York


A6357 (2014) Signed by governor 7/5/14 Yes Yes- Ingested doses may not contain more than 10 mg of THC, product may not be combusted (smoked). Yes No AB 1248A/SB 854 passed legislature, signed by governor on March 31, 2021.
North Dakota Measure 5 (2016) NDCC 19-24.1 NDAC 33-44 Yes Yes Yes No  
Northern Mariana Islands Does not have a medical program.         Yes, HB 20-178 HD 4- Public Law 20-66 (2018)
Ohio HB 523 (2016) Approved by legislature, signed by governor 6/8/16


Yes Yes Yes Yes- If approved by the Board of Pharmacy on a state-by-state basis.   
Oklahoma    SQ 788 Approved by voters on 6/26/18 Yes Yes Yes, but list was not included in the initial ballot measure. Yes but must apply as a temporary patient  
Oregon Oregon Medical Marijuana Act (1998) SB 161 (2007)  Yes  Yes Yes  No, but adults over 21 may purchase at adult retail dispensaries. Measure 91 (2014) 
Pennsylvania SB 3 (2016) Signed by governor 4/17/16 Yes Yes Yes No  
Puerto Rico Public Health Department Regulation 155 (2016) in Spanish Yes Yes- Cannot be smoked Yes Yes  
Rhode Island S 710 B (2006)- Legislature overturned governor’s veto.
SB 791 (2007)  SB 185 (2009)
Yes  Yes  Yes  Yes  

South Dakota

*Nonmedical measure ruled unconstitutional as of Feb. 9, 2021.

Initiated Measure 26 (2020)

News: Court rules measure unconstitutional Feb. 8, 2021

News: AG will not appeal court decision Feb. 12, 2021

News: Legislature considering legislation Feb. 9, 2021

Yes Yes Yes Yet to be determined Amendment A (2020)
US Virgin Islands SB 135 (2017) signed by governor 1/19/19          
Utah Prop 2 (2018) replaced by HB 3001 HB 3001 2018– Third Special Session Yes Yes Yes Yes  
Vermont SB 76 (2004) SB 7 (2007) SB 17 (2011) H.511 (2018) Yes  Yes Yes  No, but adults 21 years old and older may purchase from the nonmedical market. H.511 approved by legislature, signed by governor 1/22/18. 
Effective July 1, 2018.
S.54 (2020) establishes sales regulations. Effective Oct. 7, 2020.
Governor’s letter re: S. 54, going into effect without his signature.    Additional info:
Governor’s Marijuana Advisory Commission Final Report– December, 2018

H 1460 (2020)

S 646 (2020)

H 1617 (2020)

S 976 (2020)

Legislative Timeline (2020)

Board of Pharmacy overview
Board of Pharmacy FAQ

Yes Yes No No, but allows for temporary residents to apply with approval from the Board of Pharmacy. Yes, legislature approved HB2312 and SB1406Signed by governor 4/7/21. 
Washington Initiative 692(1998) SB 5798 (2010) SB 5073 (2011) Registry is voluntary. Yes, approved as of Nov. 2012, stores opened in July, 2014. Yes  No, but adults 21 and older may purchase at nonmedical retail dispensaries. Initiative 502 (2012)
WAC Marijuana rules: Chapter 314-55 WAC
  FAQ about WA cannabis laws by the Seattle Times.
West Virginia SB 386 (2017) Yes Yes. No whole flower/cannot be smoked but can be vaporized. Yes No, but may allow their patients who are terminally ill to buy in other states. WV does not recognize other state cards.  

*The links and resources are provided for information purposes only. NCSL does not endorse the views expressed in any of the articles linked from this page.

Source: National Conference of State Legislatures



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