Photo by Jonathan Olsen-Koziol

The legalization of marijuana is one of the most significant shifts in American society. While the weed legalization campaign began in the 20th century, the last ten years have seen a deluge of states either becoming medical marijuana states or moving to recreational legalization.

How many states have legalized medical weed? To date, 37 states have now become medical states in 2023, with this number increasing annually. However, the states are divided on the issue, with some legalizing medicinal cannabis while only permitting low-THC products.

If you’re interested in where you can join a medical card registry, here’s your guide to medical marijuana states 2023.

Legal Status of Marijuana in the US

Marijuana is a complex issue. Despite being legal in many states, marijuana remains illegal at the federal level. This is why all American weed is grown within the country rather than being imported from abroad.

It’s also one of the reasons why you still cannot fly with weed, even between two states that have moved to full legalization. You could still be prosecuted as a Schedule 1 drug for possessing and consuming cannabis.

Unfortunately, advice from the U.S. Centers for Disease Control on cannabis hasn’t changed in decades because of continuing federal prohibition.

However, states have deviated from the federal stance on marijuana, enabling them to permit the growth and consumption of cannabis within their territories. With so many medical weed states, proponents hope the situation will change in the years ahead.

Following Election Day 2022, an estimated 155 million Americans now live within the medical marijuanas state map, which is over half the population.

Importance of Medical Marijuana in Healthcare

Generations of prohibition meant that the medical community was unable to study the positive impacts of medical marijuana legally. However, as states have moved to legalize, research has accelerated, and more positives are being uncovered.

So, why do so many states now have a medical marijuana state registry for those with qualifying conditions? According to WebMD, the answer is cannabinoids, the active compounds in medical marijuana, similar to the body’s naturally occurring chemicals responsible for appetite, movement, and pain regulation.

They highlight some of the benefits of medical marijuana, including:

Reducing anxiety
Reducing inflammation
Pain relief
Nausea control
Slow cancer tumor growth
Muscle relaxation
Appetite stimulation

Scientists believe these benefits merely scratch the surface of what’s possible and caution that we still don’t know the full impact of medical marijuana, particularly in the long term.

States with Medical Marijuana Card Programs

Answering, “How many states have legal, medical weed?” only partially answers the question. There’s a lack of consistency between medical marijuana states because each state is free to make up its own rules.

For example, California and Colorado offer a tremendous amount of freedom for medical marijuana patients to consume highly potent products. On the other hand, Texas has only recently permitted low-THC products.

Technically speaking, just five states remain that have refused any legalization whatsoever, meaning the chances are that you live in one of the states with medical weed. So, let’s discuss how you can qualify for a medical marijuana card.

General Conditions to Qualify for a Medical Marijuana Card

While every state can define its own rules, most have similar conditions for qualifying for a medical marijuana card.

What follows is a breakdown of the most common requirements for someone to join a state medical marijuana program. However, you should double-check the specifics for your state to ensure that you’re eligible.

Step One – Check that you have an eligible condition. Some of the qualifying conditions most states agree upon include autism, cancer, multiple sclerosis, Parkinson’s Disease, anorexia, and Crohn’s disease, among others.
Step Two – Schedule an appointment with your doctor. Depending on where you live, you may need to attend an in-person appointment. Your doctor will review your medical history and recommend medical marijuana if they believe you can benefit from it.
Step Three – The final step is registering with your state’s medical marijuana program. Each state has its own platform, which may require you to upload documentation and pay a fee.

Some states make the process easier than others, so your mileage may vary in states with a medical marijuanas card.

States that Have Legalized Medical Marijuana:

Medical marijuana states cover the majority of the country. Here’s a list in alphabetical order of states that have legalized medical cannabis.

Note that when asking, “How many states have legalized medical marijuanas?” this list covers any state that has permitted all types of medical cannabis. It doesn’t cover states like Georgia, which only permits CBD oil containing THC.

Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Hawaii
Illinois
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Utah
Vermont
Virginia
Washington
West Virginia

Currently, nine states have restricted medical marijuana use to CBD oil only, with five states opting for continued prohibition. In addition, some of the states on this list may also have ratified their cannabis laws but have yet to launch their medical cannabis programs formally.

Map of States with Medical Marijuana

Photo courtesy of Wikipedia

States with Medical Marijuana Reciprocity Programs

One of the quirks among medical marijuana states is that some allow for reciprocity. Medical card reciprocity is a concept that enables state-legal medical marijuana users to buy, possess, and consume marijuana outside of their home states.

So, do medical marijuana cards work in other states?

Again, every state sets its own rules, with some choosing to recognize out-of-state medical cards and others refusing. Some states may even only have reciprocity agreements with a select number of states, further complicating the issue.

What is Medical Marijuana Reciprocity?

Each state sets medical marijuana reciprocity laws. Some enable out-of-state residents to possess but not purchase medical marijuana within their territories, whereas others allow you to walk into any dispensary and purchase your medical weed.

Likewise, every state has its own system for establishing your legal right to possess, purchase, and consume medical weed. Some may require you to purchase a temporary license, whereas others set zero preconditions.

Currently, just 18 medical marijuana states have medical card reciprocity in some form as of September 2022.

States that Recognize Out-of-State Medical Marijuana Cards:

If you’re wondering, “Can I use my medical marijuana card in another state?” the answer is you can, but only in the following places:

Arizona
Arkansas
California
Colorado
Illinois
Washington, D.C.
Maine
Massachusetts
Michigan
Montana
Nevada
New Hampshire
Oklahoma
Oregon
Rhode Island
Vermont
Utah
Washington

States Without Any Form of Recreational or Medicinal Marijuana

Most states have permitted some form of recreational or medicinal marijuana, but five holdouts continue their total prohibition of medical marijuana.

While this may be frustrating if you live in one of these states, know that this list has grown increasingly thin recently as other states legalize it, and it becomes more accessible than ever to obtain marijuana within the country.

Note that these states don’t include those that allow CBD oil with THC, which would include Wisconsin, Iowa, and Texas.

States that Have Not Legalized Any Form of Marijuana

So, where can you not find any legalized THC products at all?

These states are:

Idaho
Indiana
Kansas
Nebraska
South Carolina

States with Upcoming Medical Marijuana Programs or Legislation

Although the number of medical marijuana states increasing recently, legalization doesn’t mean that patients can apply for a medical card immediately. Instead, there tends to be a waiting period between legalization and a medical cannabis program being established.

In this section, we’ll list some of the recent states that have either passed legislation or are currently creating a medical cannabis program.

Alabama

Alabama decided to change its laws and establish the Alabama Medical Cannabis Commission (AMCC) after Governor Kay Ivey legalized medical cannabis in 2021. However, this program will be one of the most restrictive in the nation, with medicinal THC only available as topicals, patches, suppositories, oils, capsules, and lozenges.

Moreover, qualifying patients will need to wait longer to actually receive the right to buy from dispensaries for the first time.

The AMCC expects the first dispensaries to open in late 2023 at the earliest.

Georgia

Georgia is also fighting to expand its medical cannabis program, but political considerations have placed countless roadblocks in the way.

Currently, Georgia only permits cannabis products with a 5% THC cap for medical patients, making it one of the weakest medical cannabis markets in the country. But this will likely change in the coming years as 53% of Georgians said they supported adult-use legalization, providing a slim majority for the relaxation of Georgia’s cannabis laws.

Kentucky

Kentucky is one of the newest states to legalize medical cannabis, with SB 47 being signed into law on March 21, 2023. Unfortunately, the letter of the law means that it won’t actually take effect until January 2025.

Under the law, registered patients can keep a 30-day supply in their homes and carry a 10-day supply with them at any time. However, the law will not lift the prohibition on home cultivation.

Mississippi

Mississippi is also a newly legal state after the signing of SB 2095 in February 2022. The bill received 74% support from voters, which was also a veto-proof margin, obligating Governor Tate Reeves to sign the bill into law.

Under the law, patients can purchase up to 3.5 grams of cannabis flower, 100 mg of infusions, and one gram of extracted oil.

Home cultivation also remains outlawed under this law.

North Carolina

North Carolina is widely expected to become the next legal state for medical cannabis. Using their status as a sovereign nation, the Eastern Band of Cherokee Indians voted to legalize back in 2021, but it is only from April 20th, 2023, that all tribal members could apply for medical marijuana patient cards, both online and in person.

Previously, the Seed-to-Sale Effort authorized tribal members to grow and harvest their own cannabis, but no formal MMJ card program was available.

Within the rest of the Tarheel State, applications for medical marijuana cards are expected to be processed from June 20th, 2023, but some legal wrangling over regulation remains ongoing. It is expected that, like the tribal plan, applications can be processed online and in person.

Democrats have also produced Senate Bill 346, which focuses on recreational marijuana and decriminalization, but this separate bill is not expected to pass.

Medical Marijuana State FAQs

Can you take medical marijuana out of state?

Many people question, “How many states is medical weed legal in?” and then assume they can carry medical marijuana between two legal states. Unfortunately, because you’re crossing a state border, this remains against the law.

Although you may not be caught, and state police may choose to turn a blind eye to people doing this by car, it’s still illegal.

Can you buy medical marijuana out of state?

Figuring out how many states legalized medical marijuanas also raises the question concerning whether you can use your medical card to buy elsewhere. In some states, this is permitted, but you’ll need to check whether a state has medical card reciprocity and, if so, the terms of their programs.

Can you order medical marijuana from another state?

No matter how many states have medical marijuanas, no state permits the shipping of cannabis across state lines because of the continuing federal prohibition on the practice.

So, “Can I order medical marijuana from another state?” in all cases, the answer is no because it’s still illegal to transport cannabis across state lines.

This article has been reviewed by Dr. Anand Dugar, an anesthesiologist, pain medicine physician and the founder of Green Health Docs. Graduating from medical school in 2004 and residency in 2008, Dr. Dugar has been a licensed physician for almost 20 years and has been leading the push for medical cannabis nationwide.

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