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Legal medical marijuana states map and laws

Even though federal law continues to prohibit the use of cannabis, many states have their own medical marijuana programs.

These programs allow qualified patients to access cannabis from state-sanctioned dispensaries, once they’ve been certified by a qualified medical professional.

Due to the unique attributes of each state’s medical marijuana program and the ever-changing nature of marijuana legislation, it’s important to stay up to date with medical marijuana laws and policies in your state.

Learn more about medical marijuana legalization by browsing through the sections below.

What is medical marijuana?

Cannabis derives its medicinal value from cannabinoids, the chemical compounds found naturally in the plant. Medical marijuana is used to treat specific conditions and diseases.

States with medical marijuana programs have passed legislation either through their governments or the voter initiative process to legalize the use of cannabis for medicinal use. These states have unique rules regarding who can grow, sell, and use medical cannabis.

Each state runs its medical marijuana program independently. State legislatures govern everything from the formats of cannabis that qualified patients can consume to the number of cannabis plants patients they can grow at home.

In many states where marijuana is recreationally legal, medical marijuana programs continue to exist, and provide patients with access to higher potency products, greater cultivation allowances, and the ability to purchase more cannabis at one time.

Marijuana legalization map

States where medical marijuana is legal

Below you will find a list of states and territories that have legalized marijuana for medicinal use. Click on each name to navigate to more information about its marijuana laws.

State Legalization status Adult use? Medical marijuana? Decriminalized statewide?
Alabama Medical No Yes Yes
Alaska Adult use Yes Yes Yes
Arizona Adult use Yes Yes N/A
Arkansas Medical No Yes No
California Adult use Yes Yes Yes
Colorado Adult use Yes Yes Yes
Connecticut Adult use Yes Yes Yes
Delaware Medical No Yes Yes
Florida Medical No Yes No
Georgia Medical No Yes No
Guam Adult use Yes Yes N/A
Hawaii Medical No Yes Yes
Illinois Adult use Yes Yes Yes
Iowa Medical No Yes No
Louisiana Medical No Yes No
Maine Adult use Yes Yes Yes
Massachusetts Adult use Yes Yes Yes
Michigan Adult use Yes Yes N/A
Minnesota Medical No Yes Yes
Mississippi Medical No Yes Yes
Missouri Medical No Yes Yes
Montana Adult use Yes Yes N/A
Nevada Adult use Yes Yes Yes
New Hampshire Medical No Yes Yes
New Jersey Adult use Yes Yes N/A
New Mexico Adult use Yes Yes Yes
New York Adult use Yes Yes Yes
North Dakota Medical No Yes Yes
Ohio Medical No Yes Yes
Oklahoma Medical No Yes No
Oregon Adult use Yes Yes Yes
Pennsylvania Medical No Yes No
Puerto Rico Medical No Yes No
Rhode Island Adult use Yes Yes Yes
South Dakota Medical No Yes No
US Virgin Islands Medical No Yes Yes
Utah Medical No Yes No
Vermont Adult use Yes Yes Yes
Virginia Adult use Yes Yes Yes
Washington Adult use Yes Yes N/A
Washington, DC Adult use Yes Yes Yes
West Virginia Medical No Yes No
Maryland Medical No Yes Yes

Medical marijuana reciprocity: States that accept out-of-state MMJ cards

Only a dozen states accept out-of-state medical marijuana cards. The states and territories that demonstrate out-of-state medical marijuana card reciprocity are:

  • Arizona
  • Arkansas
  • Hawaii
  • Maine
  • Michigan
  • Nevada
  • New Hampshire
  • New Mexico
  • Oklahoma
  • Puerto Rico
  • Rhode Island
  • Washington, DC

Common qualifying conditions for medical marijuana patients

Qualifying conditions are the diagnosable conditions that patients may seek medical marijuana to help treat. Each state its own list of qualifying conditions. The following conditions are among the most commonly approved for use of medical cannabis.

Epilepsy and seizure disorders

Thanks to its significant anti-seizure properties, almost every state has approved medical marijuana to combat epilepsy and other seizure disorders. The non-intoxicating cannabis compound cannabidiol (CBD) has been found to significantly reduce seizure frequency—as much as 42%, according to a 2018 study. Many states may also approve cannabis, specifically CBD, for the treatment of pediatric epilepsy in minors.


While scientists continue to explore the ways that cannabis may treat cancer itself, most states now acknowledge its ability to abate symptoms relating to cancer and chemotherapy, including pain, nausea, and appetite loss. For cancer-related symptoms, many patients prefer cannabis products that contain a balance of THC and CBD.

Multiple sclerosis (MS)

Some of the strongest advocates in the cannabis movement are patients with multiple sclerosis who have experienced the benefits of cannabis firsthand. Cannabis has been found to alleviate many symptoms associated with MS: Pain, insomnia, inflammation, muscle spasms, abdominal discomfort, and depression.


Some of the earliest and most effective medical cannabis advocacy in the US is rooted in its ability to treat HIV/AIDS symptoms. It makes sense, then, that so many states have approved the condition for HIV/AIDS patients suffering symptoms like appetite loss, nausea, and fatigue.

Neurodegenerative disease

Medical professionals frequently approve medical marijuana to treat neurodegenerative diseases such as Lou Gehrig’s Disease (ALS), Alzheimer’s, Parkinson’s, Huntington’s, and glaucoma. For many suffering these debilitating diseases, cannabis can help restore their quality of life by improving cognition and mobility, relieving spastic and rigid muscles, and more.

Doctors have identified several different types of pain, and regularly recommend medical marijuana to treat many of them. Check to make sure your state has approved the specific type of pain you experience, and note that cannabis affects each type of pain uniquely. Many doctors and patients have found that cannabis products that combine THC and CBD tend to be most effective in treating pain.


Doctors commonly approve medical cannabis to treat nausea, although there are nuances in its definition from state to state. For example, some states approve cannabis for nausea at a broad level, while others require “severe” or “intractable” symptoms. THC can relieve nausea and vomiting, but be mindful of your dose, especially when using edibles: Too much THC can actually have the opposite effect, and worsen nausea.

Cachexia/wasting syndrome

Cachexia, or “wasting syndrome,” is a condition that typically accompanies cancer and HIV/AIDs, and is characterized by appetite and weight loss along with weakness and fatigue. Given that cannabis—especially THC-rich varieties—can potentially alleviate these symptoms, it’s no surprise that so many states include cachexia in their qualifying conditions.

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Post-traumatic stress disorder (PTSD)

PTSD is an anxiety disorder that often expresses itself via panic episodes and hypervigilance , in addition to mood and sleep disturbances. In the appropriate dose—and most often paired with high levels of CBD—cannabis can ease PTSD-related anxiety. Cannabis before bedtime has also been known to help patients fall asleep faster, stay asleep longer, and suppress nightmares.

What are the benefits of having a medical marijuana card in a legal state?

As states across the nation begin to fully legalize adult-use cannabis, you may be wondering how this shift impacts medical cannabis dispensaries and card holders: What does it mean to be a medical cannabis patient in a world where anyone can walk into a recreational dispensary, present their state ID, and legally purchase cannabis?

Is the hassle of visiting a doctor for a medical card still worth it? Are there any real benefits of obtaining or renewing your card?

The answer is yes—medical cannabis card holders continue to reap benefits from their medical programs, even when their home state legalizes recreational cannabis. From dosage to access and affordability, patients will find plenty of support for their ongoing care on the medical side of cannabis legality.

Lower costs and taxes

Many states’ medical dispensaries offer lower prices for medical marijuana patients, a huge asset for individuals who depend on marijuana for their livelihood. Imagine needing life-improving medication, but not having it covered by your insurance—that is the reality of medical cannabis patients all over the country.

Now imagine your medicine was also highly taxed and thus very expensive—that would be the reality of patients if they only had access to recreational dispensaries.

Medical cannabis dispensaries allow concessions for patients that recreational shops do not. In Colorado, for example, medical cannabis patients avoid the 10% retail marijuana tax and 15% excise tax that recreational dispensary costumers must pay.

Higher potency limits

Dosage is extremely important when it comes to medical cannabis, and many patients need access to high-strength products to alleviate symptoms. However, while recreational shops may have to abide by potency limits, medical dispensaries sometimes have more leeway.

For example, in California, recreational tinctures and lotions cannot contain more 1,000mg of cannabinoids per package. Medical product can typically contain up to 2,000mg.

These potency limits vary from state to state. Colorado, California, Oregon, and Nevada all allow higher potency for MMJ patients in varying degrees of potency.

Washington state law restricts recreational edibles to 10mg per serving. However, some dispensaries offer 25mg edibles for medical patients.

Alaska, meanwhile, does not have medical dispensaries, despite having a medical program. Patients access cannabis from recreational dispensaries, and currently there are no options for higher potency products for patients.

Cannabis patients under age 21

Recreational shops can sell cannabis to anyone who is over the age of 21. While this makes sense for the general public, minors who depend on medical marijuana would be barred without medical programs in place. Some medical cards allow those who are age 20 and under to legally access the cannabis medicine they need to treat cancer, epilepsy, or other ailments. Drawing a distinction between medical and recreational cannabis also reduces the stigmatization of pediatric patients.

States with medical cannabis programs typically have laws allowing minors to access medical cannabis with the assistance of a caregiver. Factors including the formats of cannabis (oils, edibles, etc.), the cannabinoids permitted (THC, CBD, etc.), and potency limits vary state to state.

Growing the medical marijuana you need

While not every medical state allows patients to grow their own medicine, many do. Medical patients can often grow more than recreational consumers. In fact, the majority of states with both recreational and medical cannabis laws allow at least some wiggle room for patients to grow additional cannabis as needed.

For example, in Oregon, recreational growers are permitted up to four plants, while medical growers may grow six plants. This is important for medical marijuana patients who, unlike recreational consumers, depend on the plant for their wellbeing and can better offset dispensary costs with their own homegrown supply.

How to buy cannabis in legal medical states

Although medical cannabis laws vary from state to state, the required steps to become an authorized medical marijuana patient generally remain the same.

For patients who wish to use cannabis to help manage their medical symptoms and conditions, what do they need to do before visiting a medical dispensary, and what should they know once they’re at a dispensary so they feel confident about choosing the right products?

Step 1: Check your medical cannabis qualifying conditions

Note: In many states, you must be a resident to receive a medical cannabis card that is valid within that state. Some dispensaries will accept valid, out-of-state cards—check the section above to find out which states have reciprocity laws.

As with any prescribed medication, you’ll need a reason for a doctor to recommend medical cannabis. Each state has a specific set of ailments that can be legally treated with cannabis. These are called “qualifying conditions,” and you can find out which ones your state has approved by navigating to its legalization page linked in the above table.

Common approved medical conditions include cancer, pain, glaucoma, HIV/AIDS, PTSD, fibromyalgia, Crohn’s disease, and multiple sclerosis—however, in most states, the list of qualifying conditions is considerably lengthier.

Step 2: Get your medical cannabis card

Once you’ve determined that you qualify for a cannabis authorization in your state, it’s time to locate a doctor permitted to prescribe cannabis. Ask your doctor if he or she is comfortable recommending medical marijuana, or if you can receive a referral to a medical professional who issues authorizations. (You can also check Leafly’s doctor locator to see if there’s a provider nearby.)

Step 3: Find a cannabis dispensary near you

Note: Remember to bring your medical cannabis card with you on every dispensary visit. Most shops will need to check it upon entry, even if they already have your authorization on file.

With your medical card in hand, you’re now ready to explore dispensaries near you. Use Leafly’s dispensary locator tool for a bird’s eye view of stores nearby—just be sure to filter for medical dispensaries if you live in a state with separate recreational and medical licensed stores.

Every patient has unique needs and deserves an experience that caters to them specifically. Shop around a bit until you’ve found a store with a staff, atmosphere, and product selection that really appeals to you. Peruse Leafly’s dispensary reviews for some crowd-sourced opinions, and consider adding your own after you’ve finished shopping.

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You can also take our word for it and subscribe to Leafly’s newsletter, where we drop recommendations for shops, strains, and other products.

Step 4: Learn the cannabis basics

Once you’ve surveyed the neighborhood for local dispensaries, educate yourself on some of the different strains and products they have available. When treating a medical condition, it’s particularly important to learn about strains, delivery methods, and dosing.

Luckily, Leafly has an answer to almost every cannabis question you might have. Here are a few of the most common, along with a resource chock-full of answers.

  • Learn about cannabis consumption methods
  • Product tips and recommendations for cannabis newcomers
  • Strain recommendations for new consumers
  • What does “indica,” “sativa,” and “hybrid” mean?
  • How will THC and CBD affect me?
  • Edibles dosing guidelines

Budtenders can take your questions and provide advice, but when shops are bustling, you may feel pressured to get through your questions quickly. Get to know the very basics and you’ll have a better chance of a positive experience and effective symptom relief.

You can also run a quick Leafly search of your condition to learn more about what strains and cannabinoids are best suited for your symptoms.

Legalization guide

For a closer look at the types of legalization, check out our dedicated guides for each.

How to Get a Texas Medical Marijuana Card in 2022

Are you interested in getting a Medical Marijuana Card in Texas? You’ve come to the right place. We hope this article acts as a valuable guide to help you understand the process of applying for your MMJ Card and getting your medical cannabis certificate. We keep this information up to date to make sure it is accurate and makes your journey as simple as possible. Keep reading to find out more.

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Table of Content

Getting a Texas Medical Marijuana Card Online

As a telehealth platform helping people easily obtain their medical marijuana cards, Leafwell can help you quickly and securely get a Texas Medical Marijuana Certificate online (medical marijuana cards aren’t available in Texas). We’ve put together this valuable guide which will answer all your questions and help individuals living in Texas understand the importance of applying for their Texas MMJ certification/registration via the easy, HIPAA-compliant process offered by Leafwell’s telemedicine platform. You can meet with one of our physicians today:

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Who Can Apply?

To apply for a Medical Marijuana Card in Texas, you must be a legal resident of Texas.

Patients must be aged 18 or over in order to apply for a medical marijuana card for themselves. Minors can have a parent or legal guardian apply on their behalf.

There is no information on the Texas Compassionate Use Program website about a caregiver program. We are looking into this and will provide more information as soon as possible.

There is no registration fee or program to sign up to but your information will be retained in the compassionate use registry (called “CURT”) after your physician has entered this information, following your approval.

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What Does an MMJ Card Permit in Texas?

Please note that the Texas Compassionate Use Program is a Low-THC program. THC (tetrahydrocannabinol) is the psychoactive component of cannabis. Even though it has significant therapeutic uses, states like Texas have curtailed its use. Cannabidiol (CBD), which is non-intoxicating, is the compound that most states have opened up to somewhat.

As an MMJ Card holder in Texas, you are permitted to possess:

  • Any amount of low-THC, high-CBD oil
  • Low-THC is considered 1% THC (the old limit was 0.5%) or less for medical patients – anything above this is considered “marijuana” or “THC oil”
  • Products cannot be smoked, even if they are less than 1% THC

Marijuana is not recreationally legal in Texas and laws are very strict. For non-medical users, the maximum THC percentage is 0.3%.

How do I Apply?

With Leafwell, you can get registered for medical cannabis in Texas in 4 simple steps:

1. Register online with Leafwell

You can speak to a doctor and qualify for a Texas medical marijuana card online and complete your payment details. You are only billed if approved.

2. Attend your appointment and discuss with your physician why you would like an MMJ Card

The doctor will ask you questions based on your medical history and provide you with advice and guidance on whether medical marijuana is a good choice for you.

3. Our Physician will add you to CURT

After your call, our physician will complete some administrative tasks to add you to the Compassionate Use Registry (CUP) in Texas, aka CURT.

4. Buy medical, CBD-rich marijuana

Once your details are entered by our physician, your details will be validated by the state and you will be able to fulfil your prescription using your preferred dispensary. There is no physical card in Texas so you won’t need to wait for anything to be posted or emailed to you by Leafwell.

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What Does my Online Medical Marijuana Evaluation with Leafwell Include?

Your online medical marijuana evaluation with Leafwell is quick and easy. In order to get started, we’ll need you to provide us with some preliminary details as well as some medical records. These are all passed securely to one of our registered practitioners who can familiarize themselves with your application before your consultation.

The consultation itself is simple and secure, taking place on our bespoke telemedicine platform. You will meet with a Texas registered practitioner who has experience issuing certificates for medical marijuana to patients for a range of medical issues. The registered practitioner will speak with you about why you are applying and ask some questions with regards to your medical conditions and history.

At the end of the consultation, the registered practitioner will be able to make an informed decision about whether they recommend the use of medical cannabis based on the medical information they have obtained. If an application is successful, the registered practitioner will add your details to CURT.

If an application is unsuccessful, you will not be charged for the consultation.

Once you are in the system, the registration will last for one year.

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How Much Does a Medical Marijuana Card Cost in Texas?

Please note that Texas does not have a medical marijuana card system, so you will not receive anything from the state or Leafwell. The consulting physician instead enters you onto the Texas Compassionate Use Registry, which lasts one year and needs to be renewed every year.

The consultation with one of the Texas registered practitioners via Leafwell’s HIPAA compliant online consultation service is a flat fee of $199. However, if you do not qualify for an MMJ Card and our practitioner elects not to sign your certificate, you will not be charged.

There is no state fee for completing your medical marijuana application to the Texas state.

Insurance does not currently cover the cost of applying for an MMJ Card in Texas because cannabis is illegal at the federal level.

What Conditions Qualify for Medical Marijuana Registry in Texas?

According to Texas law in 2021, the following debilitating conditions may qualify you for a medical marijuana certification in Texas:

  • A seizure disorder
  • An incurable neurodegenerative disease
  • Cancer
  • Spasticity
  • Terminal cancer

Note that this list is up to date as of September 2021. Legislation or the Commissioner of Health may add additional conditions, at which time, Leafwell will update this list.

What Documents Do I Need to Apply for a Medical Cannabis Card?

In order to apply for your MMJ Card in Texas, you will need to show medical records which provide proof of your condition as well as your identification documents. You will also be asked to provide your Texas Driver’s License Number or Texas State ID number

Do I Need to Present my Medical Records to Leafwell?

Yes, our healthcare providers are legally required to see medical records. In order to responsibly sign a certificate which permits individuals to apply for an MMJ card, our registered practitioners must have a comprehensive understanding of your medical history.

This allows them to provide an accurate assessment to ensure that medical cannabis is a good option for each patient on a case-by-case basis.

How Does a Caregiver Apply for a Medical Marijuana Card?

There is no information on the CURT website about caregivers. However, patients under the age of 18, minors, can have their parent or legal guardian apply on their behalf, thereby effectively acting as their caregiver.

Can a Qualifying Patient Grow Cannabis in Texas?

No, it is illegal to cultivate marijuana in Texas.

Are my Details Kept Confidential When I Apply for a Medical Marijuana Card?

Yes. Leafwell is committed to protecting the privacy of our patients. Our online service is HIPAA compliant and our systems are designed to keep all of your confidential details safe.

Does Texas Have Medical Marijuana Reciprocity?

Some states accept out-of-state Medical Marijuana Cards. This is called reciprocity. The following states accept out-of-state medical cannabis cards:

  • Alaska ^
  • Arkansas *
  • California ^
  • Colorado ^
  • Hawaii *
  • Nevada
  • Oklahoma *
  • Oregon ^
  • Puerto Rico
  • Washington ^
  • Washington D.C.

States marked with * require visitors to complete a visiting patient application for the duration of their stay.

States marked with ^ have adult use programs but do not accept out of state cards.

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Getting a Medical Marijuana Card in Houston, San Antonio, Dallas and Austin

While Texas as a state has relatively severe charges in place for cannabis possession, several municipalities more lenient punishments:

  • El Paso – called for legalization in 2009 but this resolution was vetoed by mayor. In 2017, it adopted the First Chance Program and the cite-and-release policy in 2020
  • Austin – instituted cite-and-release for small possession amounts in 2009. It moved to eliminate penalties for up to 4 ounce possessions in 2020.
  • Harris – launched First Chance Intervention Program in 2014. This was followed by the Misdemeanor Marijuana Diversion Program in 2017
  • Dallas – adopted cite-and-release policy in 2017. This was expanded to announce that individuals caught in possession of misdemeanour amounts of cannabis would not be prosecuted for first-time offences and subsequent offences would lead to diversionary courses in 2019
  • Bexar County – adopted cite-and-release policy in 2017. In 2019, they expanded this program to stop prosecutions of less than one ounce of cannabis
  • Travis County – approved a diversion program in 2017

Regardless of where you are in Texas, you can get a medical marijuana card with Leafwell, MD and our network of state-licensed physicians. Wherever you are in Texas, if you hold an MMJ Card, you can easily find a dispensary where you can purchase the marijuana products you require. Check back here soon to find the details for our clinics in Texas.

Remember: you don’t have to visit a clinic in-person in order to qualify for a certificate and MMJ card in Texas – you can do it all online, with Leafwell!

History of Medical Marijuana Laws in Texas

Here is a brief overview of the history of medical marijuana laws and legislation in Texas:

  • 1931 – possession was banned statewide and possession of any amount was a felony offence which carried a potential prison sentence of anywhere from 2 years to lif
  • 1973 – penalties for cannabis offences are significantly reduced (possession of up to two ounces reduced to $1000 fine and a prison sentence of no more than 180 days)
  • 2015 – the Texas Compassionate Use Act is enacted. It required DPS to create a secure registry of physicians who treat epilepsy for the purpose of prescribing low-THC cannabis to their patients who have been diagnosed with intractable epilepsy
  • 2019 – bill approved by House of Representatives to reduce possession of up to one ounce from Class B to Class C misdemeanour but this was stopped by Lieutenant Governor Dan Patrick from reaching the Senate
  • 2019 – the qualifying conditions for eligible treatment expanded from epilepsy to include terminal cancer, autism, MS, ALS, seizure disorders and incurable neurological disorders

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Current Texas Medical Marijuana Laws

Possession of up to two ounces is currently a class B misdemeanour and carries up to 180 days in prison, a $2000 fine and the suspension of an individual’s driver’s license. However, many municipalities have more lenient penalties in place.

Useful Links

To find out more about getting a Medical Marijuana Card in Texas, get in touch with the expert Leafwell team today or use any of these verified resources below: