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Which States Have Medical Marijuana Card Reciprocity?

Before we get into the nitty-gritty, first we must ask (and answer), “What is medical marijuana card reciprocity?” Medical marijuana card reciprocity is when a medical marijuana program in one state recognizes the validity of a medical marijuana card and certificate from another state. It’s essentially a state saying, “Your state’s medical marijuana program and laws are equal to our own.” This means, if you hold a medical card in one state, you can continue to use medical marijuana when you travel to another state which has reciprocity.

What Rules Are in Place for MMJ Patients from Other States?

Just because a state recognizes out-of-state medical marijuana cards and certificates, doesn’t necessarily mean you can go into a dispensary and buy medical cannabis. Yes, some dispensaries do allow this if you ring ahead and ask, but more often than not, there are rules in place prohibiting patients from another state purchasing medical cannabis. What having a valid medical marijuana card does do, however, is give you some level of legal protection under another state’s medical marijuana program.

Here’s a look at what’s allowed for out-of-state MMJ patients under various states’ medical marijuana reciprocity programs, if they have one. We have not included all states – just ones where there is some form of reciprocity available, where recreational cannabis can be purchased, and the states Leafwell operates telehealth services in.

Alaska

Alaska’s medical marijuana program does not recognize out-of-state MMJ cards. However, it is legal to purchase up to 1 ounce of cannabis for recreational purposes in Alaska.

Arizona

Arizona provides limited reciprocity to those who are considered “visiting qualifying patients”. In order to be a visiting qualifying patient, the out-of-state MMJ card holder must not be a resident of Arizona, or has resided in Arizona for less than 30 days. The cardholder must also match the qualifying condition between Arizona and their home state. So, if your qualifying condition in your home state doesn’t match Arizona’s, you cannot technically qualify for Arizona’s MMJ card program.

However, recreational cannabis is legal to purchase in Arizona, with a possession limit of up to 2.5 ounces.

Arkansas

Those with a valid out-of-state medical recommendation and card can legally purchase medical marijuana in Arkansas, provided they fill out a visiting patient form and can provide proof of their out-of-state medical marijuana registration.

California

California doesn’t recognize out-of-state medical marijuana cards, but visitors to California can apply for a California medical marijuana identification card (MMIC). Recreational cannabis is also legal in California, with a possession limit of up to 1 oz., or 8 grams of concentrate.

Colorado

Only Colorado residents may apply for the medical marijuana program, and Colorado doesn’t recognize out-of-state medical cannabis cards. However, recreational cannabis is legal in Colorado, with a possession limit of 1 ounce.

medical marijuana card colorado

Illinois

Illinois does not recognize out-of-state medical marijuana cards.

Hawaii

As with California, Hawaii allows for out-of-state patients to apply for their medical marijuana program, as opposed to recognizing other states’ medical marijuana programs. Those with serious or terminal conditions can get their applications fast-tracked.

Maine

Maine does recognize out-of-state medical marijuana cards, but patients must register with the Maine MMJ program in order to access dispensaries. When out-of-state patients register, they have a temporary registration that allows them to legally purchase cannabis from a dispensary. The possession limit is 2.5 ounces.

Massachusetts

MA does not recognize out-of-state medical marijuana certificates or cards, but does allow for recreational sales for those aged 21 or over. Massachusetts does, however, offer reciprocity regarding possession of medical marijuana within the state of Massachusetts.The possession limit is 1 ounce.

Michigan

Michigan’s dispensaries can choose whether or not they will recognize an out-of-state medical marijuana card. However, recreational cannabis is legal to purchase for those aged 21 or over in Michigan. The possession limit is 2.5 ounces.

Minnesota

Minnesota does not recognize out-of-state medical marijuana cards.

Mississippi

There are no laws regarding medical marijuana reciprocity established in Mississippi as of yet.

Missouri

Reciprocity laws are a little confusing in Missouri. However, Amendment 2, Subsection 5 (1) suggests that reciprocity laws are in place, and that those with a valid medical marijuana recommendation and card from another state can legally possess the established legal limit of cannabis in Missouri. The possession limit is 4 ounces, unless the patient has a second physician’s recommendation stating otherwise.

Montana

Montana recognizes other states’ medical marijuana cards. Dispensaries will check to see if your qualification is valid, that you have a medical marijuana card, and your state ID.

Medical Marijuana Reciprocity

Nevada

Nevada recognizes all other states’ medical marijuana cards.

New Hampshire

If the qualifying condition for your medical marijuana card from your home state matches New Hampshire’s qualifying condition, then New Hampshire will recognize your medical marijuana card. Out-of-state patients may not service New Hampshire dispensaries, but may legally possess medical marijuana if they have entered the state with it.

New Jersey

Yes, New Jersey does recognize other states’ medical marijuana cards. Individuals who are registered as patients under their states’ medical marijuana programs can receive reciprocity, or otherwise be considered to be qualifying patients, under New Jersey’s medical marijuana program for up to six months while they are visiting the state. Out-of-state medical marijuana patients may also get certified for cannabis by a New Jersey doctor as well!

Patients are allowed to possess up to 3 ounces of cannabis flower. New Jersey has recently legalized recreational cannabis as well.

New York

New York does not recognize other states’ medical marijuana cards or certificates.

Ohio

Ohio does not have medical marijuana reciprocity with other states at this time.

Oklahoma

Yes, Oklahoma does recognize other states’ medical marijuana certificates and identification cards. However, visiting patients must fill out the Temporary Patient Application Information form in order to legally purchase medical marijuana from an Oklahoma dispensary.

Oregon

Oregon does not recognize out-of-state medical cannabis cards, but cannabis is legal for recreational use in Oregon, so anyone over 21 can purchase an ounce of pot at retail dispensaries.

Pennsylvania

Pennsylvania does not recognize out-of-state medical marijuana cards. However, the laws may be slightly different when it comes to minor patients. Under Section 2106 of the law, it is not a violation of state law “if a parent or guardian of a minor under 18 years of age lawfully obtains medical marijuana from another state, territory of the United States or any other country to be administered to the minor.”

Puerto Rico

Puerto Rico recognizes other states’ medical marijuana cards, and card holders can purchase from a dispensary legally. Recreational cannabis is not legal in Puerto Rico.

Puerto Rico; Island of Puerto Rico; Coastline
View of Puerto Rico

 

Rhode Island

Dispensaries in Rhode Island can choose whether or not they want to serve out-of-state patients. So, although out-of-state medical marijuana cards are technically valid in Rhode Island, it is different when it comes to buying cannabis from a dispensary. The possession limit is 2.5 ounces.

Vermont

Vermont does not recognize other states’ medical marijuana cards. However, adults 21 and older who are not patients can possess up to 1 ounce (28 grams) of marijuana or 5 grams of hashish for recreational purposes, and grow a maximum of two mature marijuana plants or four immature marijuana plants.

Utah

Visiting medical marijuana patients who meet one of Utah’s qualifying conditions may possess and use medical cannabis in accordance with Utah’s legal restrictions. New residents with a vaid MMJ card are allowed to possess medical cannabis from out-of-state for 45 days. Longer than this, or those who wish to purchase from a dispensary in Utah, and the patient must apply for a Utah medical cannabis card.

Virginia

Virginia doesn’t recognize other states’ medical marijuana cards.

Washington

Washington does not have medical marijuana reciprocity. However, it is legal for those who are over 21 and have photographic identification to purchase up to 1 ounce of cannabis.

Washington, D.C.

Washington, D.C. recognizes other states’ medical marijuana cards. The possession limit is 1 ounce.

This list may change in future, and hopefully more states will recognize other states’ medical marijuana programs.

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Written by
Dipak Hemraj
Dipak Hemraj - Chief Research Officer

Dipak Hemraj is a published author, grower, product maker, and Leafwell’s resident cannabis expert. From botany & horticulture to culture & economics, he wishes to help educate the public on why cannabis is medicine (or a “pharmacy in a plant”) and how it can be used to treat a plethora of health problems. Dipak wants to unlock the power of the plant, and see if there are specific cannabinoid-terpene-flavonoid profiles suitable for different conditions.

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