Frequently asked questions West Virginia Medical Marijuana Laws – Overview and History 2017 – Governor Jim Justice signs Senate Bill 386 (SB 386), legalizing cannabis for medical purposes. The bill was introduced by Senator Richard Ojeda. Medical marijuana cards will be issued as of 2019. Patients are permitted to possess a 30-day supply of cannabis-infused products. Patients may not possess herbal cannabis. Only pills, oils, topicals, tinctures or patches. Smoking cannabis is not permitted. Home cultivation is prohibited. Dispensaries are permitted, but not operational as of yet. Caregiver program is available. Patients may have up to 2 caregivers at once. Caregivers may not have more than 5 patients under their care.