Does Rhode Island Have Medical Marijuana Reciprocity? Yes, Rhode Island does recognize other states’ medical marijuana cards. Patients must bring a physical card (not a paper certificate or online recommendation) as well as a driver’s license from the same state as their medical license. All states in the US are allowed. Those with a valid out-of-state medical marijuana card and with a debilitating medical condition, with a registry identification card (or its equivalent), are authorized to engage in the medical use of marijuana in Rhode Island.