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As of Apr. See Table 1 below for additional information. As of November 8, , 24 states, three territories and the District of Columbia have enacted measures to regulate cannabis for non-medical adult recreational use. Approved measures in 9 states allow the use of 'low THC, high cannabidiol CBD ' products for medical reasons in limited situations or as a legal defense. See Table 2 below for more information. Low-THC programs are not counted as comprehensive medical cannabis programs. NCSL uses criteria similar to other organizations tracking this issue to determine if a program is 'comprehensive':. Notes: The District of Columbia allows limited adult possession and growing, no regulated production or sales. In response to California's Prop , the Institute of Medicine issued a report that examined potential therapeutic uses for cannabis. The report found that: 'Scientific data indicate the potential therapeutic value of cannabinoid drugs, primarily THC, for pain relief, control of nausea and vomiting, and appetite stimulation; smoked marijuana, however, is a crude THC delivery system that also delivers harmful substances. The psychological effects of cannabinoids, such as anxiety reduction, sedation, and euphoria can influence their potential therapeutic value. Those effects are potentially undesirable for certain patients and situations and beneficial for others. In addition, psychological effects can complicate the interpretation of other aspects of the drug's effect. In early , the National Academies of Sciences, Engineering, and Medicine released a report based on the review of over 10, scientific abstracts from cannabis health research. They also made conclusions related to health and suggest ways to improve cannabis research. At the federal level, cannabis remains classified as a Schedule I substance under the Controlled Substances Act, where Schedule I substances are considered to have a high potential for dependency and no accepted medical use, making distribution of cannabis a federal offense. In October of , the Obama Administration sent a memo to federal prosecutors encouraging them not to prosecute people who distribute cannabis for medical purposes in accordance with state law. In late August , the U. Department of Justice announced an update to their marijuana enforcement policy. The statement read that while cannabis remains illegal federally, the USDOJ expects states like Colorado and Washington to create 'strong, state-based enforcement efforts More recently, in January , former Attorney General Sessions issued a Marijuana Enforcement Memorandum that rescinded the Cole Memorandum, and allows federal prosecutors to decide how to prioritize enforcement of federal cannabis laws. Specifically, the Sessions memorandum directs U. Arizona and the District of Columbia voters passed initiatives to allow for medical use, only to have them overturned. In , voters in the District of Columbia passed Initiative However, Congress blocked the initiative from becoming law. In , Congress reversed its previous decision, allowing the initiative to become law. The D. Council then put Initiative 59 on hold temporarily and unanimously approved modifications to the law. Before passing Proposition in , Arizona voters originally passed a ballot initiative in However, the initiative stated that doctors would be allowed to write a 'prescription' for cannabis. Since cannabis is a Schedule I substance, federal law prohibits its prescription, making the initiative invalid. Medical cannabis 'prescriptions' are more often called 'recommendations' or 'referrals' because of the federal prescription prohibition. States with medical cannabis laws generally have some form of patient registry, which may provide some protection against arrest for possession up to a certain amount of products for personal medicinal use. Some of the most common policy questions regarding medical cannabis include how to regulate its recommendation, dispensing, and registration of approved patients. Some small cannabis growers or are often called 'caregivers' and may grow a certain number of plants per patient. This issue may also be regulated on a local level, in addition to any state regulation. SB Amendment 2 S B - Legislature overturned governor's veto. SB SB Initiated Measure 26 News: Court rules measure unconstitutional Feb. News: AG will not appeal court decision Feb. News: Legislature considering legislation Feb. H S Legislative Timeline SB46 of created a new medical cannabis law enacted on May 17, and is listed in Table 1. New comprehensive medical program approved in and listed in Table 1 above. Tech Univ. HB Virginia NEW comprehensive medical program approved in and listed above. NCSL does not endorse the views expressed in any of the articles linked from this page. Skip to main content. Report State Medical Cannabis Laws. Updated July 12, A Report is an in-depth look at a topic. Related Topic: Health. Easily browse the critical components of this report…. Medical Uses of Cannabis. State vs. Federal Perspective. Medical-Use Update As of Apr. NCSL uses criteria similar to other organizations tracking this issue to determine if a program is 'comprehensive': Protection from criminal penalties for using cannabis for a medical purpose. Access to cannabis through home cultivation, dispensaries or some other system that is likely to be implemented. It allows a variety of strains or products, including those with more than 'low THC. Is not a limited trial program. Nebraska has a trial program that is not open to the public. Medical Uses of Cannabis In response to California's Prop , the Institute of Medicine issued a report that examined potential therapeutic uses for cannabis. Federal Perspective At the federal level, cannabis remains classified as a Schedule I substance under the Controlled Substances Act, where Schedule I substances are considered to have a high potential for dependency and no accepted medical use, making distribution of cannabis a federal offense. Table 1. Non medical adult use- Bill No. Non medical use- Bill No. Measure approved by legislature in May, , signed by governor June 25, Effective Jan. Question 4 Massachusetts Question 3 Regulations Yes. Question 4 Michigan Proposal 1 Yes. Issue 2 enacted by voters Nov. Effective July 1, Effective Oct. Governor's letter re: S. West Virginia SB Table 2. No more than. Kentucky New comprehensive medical program approved in and listed in Table 1 above SB Clara Madeline Gilliam Act Exempt cannabidiol from the definition of marijuana and allows it to be administered by a public university or school of medicine in Kentucky for clinical trial or expanded access program approved by the FDA. No, only 'cannabidiol'. Mississippi Overturned Amendment 65 from included in table above. Contains no other psychoactive substance. Oklahoma NEW comprehensive medical program approved in and listed above HB A preparation of cannabis with no more than. HB Same as above. Wisconsin AB Act Exception to the definition of prohibited THC by state law, allows for possession of 'cannabidiol in a form without a psychoactive effect. Wyoming HB 32 Supervised medical use of hemp extracts. Updated October 14, Prescription Drug Legislation Database Search over 7, pieces of legislation to analyze what states are considering and enacting in current topic areas of prescription drugs. Bill status updates weekly. Updated October 14, Injury Prevention Legislation Database This database tracks legislation related to substance misuse and overdose prevention as well as other injury prevention and violence prevention topics. This database includes all introduced legislation from to the present and is updated biweekly. Contact NCSL. Legislator Legislative Staff Other. No Yes. SB46 Ballot Measure 2 Marijuana Regulations. Proposition Issue 6 Proposition SB Colorado Medical program info -Non medical use info. Amendment 20 HB Non medical use legislation SB District of Columbia. Initiative 71 HB 1 Eff. SB 47 Question 1 page 4 Chapter Question 4 Question 3 Regulations Proposal 1 Proposal SF , Chapter HF Amendment 3 Initiative SB Initiative Initiative Question 2 page New Hampshire. HB HB 89 New Jersey. SB Program information. Public Question 1 passed by voters in to allow legislature to enact legislation NJ AB 21 passed legislature, signed by governor March 1, New Mexico. SB Medical Cannabis Program. New York. North Dakota. Measure 5 NDCC Measure 91 Public Health Department Regulation in Spanish. Rhode Island. US Virgin Islands. Yes, legislature approved HB and SB Initiative SB SB West Virginia. Alabama SB46 of created a new medical cannabis law enacted on May 17, and is listed in Table 1. Compassionate Medical Cannabis Act of CS for SB Patient treatment information and outcomes will be collected and used for intractable childhood epilepsy research. Is composed of no more than three-tenths percent 0. Kentucky New comprehensive medical program approved in and listed in Table 1 above. SB Clara Madeline Gilliam Act Exempt cannabidiol from the definition of marijuana and allows it to be administered by a public university or school of medicine in Kentucky for clinical trial or expanded access program approved by the FDA. HB 'Harper Grace's Law' Missouri NEW comprehensive program approved in , included in table above. Oklahoma NEW comprehensive medical program approved in and listed above. Cannabidiol or derivative of marijuana that contains 0. Utah NEW comprehensive program approved in , included in table above. HB - no longer in effect. AB Act Exception to the definition of prohibited THC by state law, allows for possession of 'cannabidiol in a form without a psychoactive effect. HB 32 Supervised medical use of hemp extracts.