Which States Have Medical Marijuana Reciprocity?

Which States Have Medical Marijuana Reciprocity?

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If you're planning to visit another state where medical marijuana is legal. But you're wondering whether your medical marijuana card will be accepted, the acceptance of your card depends on various factors.

While an increasing number of states are starting to recognize out-of-state medical cards, the specific regulations about the usage of your card vary from state to state.

Even if a state acknowledges medical marijuana reciprocity, it doesn't guarantee that you will be able to buy marijuana. The state might only allow possession or impose additional registration requirements. They may even consider the purpose of your visit.

To ensure that you're not caught off guard during your next trip to another state, let's examine the rules governing medical marijuana reciprocity across different states, along with the important details and limitations you should be aware of before your visit.

The State of MMJ Reciprocity

While not all these states acknowledge reciprocity for medical marijuana. In certain states where recreational cannabis remains prohibited, but recognition of medical marijuana reciprocity exists, there may be certain restrictions; still, you will have the opportunity to buy or own cannabis in the following locations:

1. Alaska

Although Alaska does not acknowledge medical marijuana cards from other states. The state allows the purchase and possession of up to one ounce of recreational cannabis.

2. Arizona

In Arizona, there is limited reciprocity for medical marijuana. Visitors must have a valid license from their home state, with a qualifying condition recognized in Arizona, and stay for less than 30 days. Recreational cannabis has been legal in Arizona since January 2021.

3. Arkansas

By presenting a valid out-of-state medical card and completing a $50 patient intake form, individuals can buy medical marijuana in Arkansas for a duration of 30 days.

4. California

Regardless of residency, both recreational and medical marijuana are accessible to individuals over 21 years old in California, as long as they own valid government-issued identification.

5. Colorado

Only residents of Colorado are allowed to buy medical marijuana, but recreational cannabis is fully legalized for anyone 21 and older.

6. Illinois

Illinois does not recognize medical marijuana reciprocity, but the state has legalized recreational cannabis.

7. Hawaii

Out-of-state patients have the option to apply for Hawaii's medical marijuana program, and those with serious or terminal conditions may have their applications expedited.

8. Maine

States with qualifying conditions similar to Maine's program recognize medical marijuana cards from other states.

9. Maryland

Out-of-state medical marijuana cards are not recognized in Maryland, but visitors seeking medical treatment can register to receive medical marijuana.

10. Massachusetts

Out-of-state medical marijuana cards are not recognized in Massachusetts, but the state has legalized recreational cannabis.

11. Michigan

The recognition of out-of-state medical marijuana cards is at the discretion of individual dispensaries. Recreational cannabis is also legalized in Michigan.

12. Montana

Montana recognizes out-of-state medical marijuana cards, but individuals must present a valid card and state-issued identification when making purchases at dispensaries.

13. Nevada

All out-of-state medical marijuana cards are accepted in Nevada.

14. New Hampshire

If an individual's qualifying condition is also recognized by New Hampshire, their medical marijuana card will be accepted.

15. New Jersey

Out-of-state medical marijuana cards are recognized for a period of up to six months while visiting New Jersey. The state is also in the process of legalizing the sale of recreational cannabis.

16. New Mexico

Following a recent court ruling, New Mexico now recognizes medical marijuana reciprocity. The state is also planning to legalize recreational cannabis in 2022.

17. Oklahoma

Oklahoma recognizes medical marijuana cards from other states, but visitors must complete a Temporary Patient Application Information form to purchase from a dispensary in Oklahoma.

18. Oregon

Out-of-state medical marijuana cards are not recognized in Oregon. But recreational cannabis is legal.

19. Puerto Rico

Out-of-state medical marijuana cards are recognized in Puerto Rico, and visitors with valid cards can purchase cannabis from any dispensary. But, recreational cannabis remains prohibited.

20. Vermont

Out-of-state medical marijuana cards are not recognized in Vermont, but individuals aged 21 and older are allowed to own up to one ounce of cannabis.

21, Utah

Visitors with out-of-state medical marijuana cards can own, but not buy, medical marijuana in Utah if they meet one of the state's qualifying conditions.

22. Washington, DC

Non-district residents with medical marijuana cards can buy medical marijuana from regulated dispensaries during their visit.

States Without Medical Marijuana Reciprocity

Some states do not accept out-of-state MMJ cards and have laws against recreational cannabis. If you plan to visit any of the following states, take this into account:

Connecticut (recently legalized, recreational sales will begin in 2023)
Florida
Georgia
Louisiana
Minnesota
Missouri
New York (Recreational cannabis will be available in 2022)
North Dakota
Ohio
Pennsylvania
Rhode Island (Recreational cannabis legalization is underway)
South Dakota
Texas
Virginia
Wisconsin
West Virginia

Both medical and recreational marijuana are still illegal in the following states:

Alabama
Idaho
Indiana
Iowa
Kansas
Kentucky
Mississippi (Cannabis legalization was recently overturned by the State Supreme Court)
Nebraska
North Carolina
South Carolina
Tennessee
Wyoming

Also Read: How To Reapply For A Medical Marijuana Card When Moving States

Conclusion

It is important to be aware of the medical marijuana reciprocity laws in different states. While some states have reciprocity agreements that recognize out-of-state MMJ cards, allowing individuals to legally obtain and use medical marijuana. Others do not accept such cards, making it illegal to possess or use medical cannabis.

Kif Team
The Kif Team has expert team of writers with a profound understanding of holistic medicine. We specialize in assisting individuals in obtaining their medical marijuana cards. We firmly believe in the therapeutic benefits of medical cannabis for various health conditions. Our mission is to educate and enlighten as many people as possible about its potential advantages.

 

Important Medical Information & Disclaimers

Medical Disclaimer

The content on this page is for informational purposes only. It does not substitute professional medical advice, diagnosis, or treatment. Medical marijuana recommendations are made only by licensed U.S. healthcare providers via secure telemedicine, in accordance with state laws.

Always consult a qualified physician before making any decisions about your health or starting new therapies.

Source: FDA – Cannabis Research & Drug Approval Process

Individual Results May Vary

Medical cannabis affects every patient differently. Outcomes depend on the product chosen, dosing, medical condition, and lifestyle factors like diet, stress, and medication adherence. Effectiveness may vary widely; regular follow-ups with your provider are essential.

Source: NIH – Therapeutic Effects of Cannabis and Cannabinoids

Possible Side Effects

The most common side effects of medical marijuana include dry mouth, dizziness, fatigue, headaches, red eyes, impaired concentration, and increased appetite. Some may experience anxiety, rapid heartbeat, memory issues, or mild hallucinations when using high-THC products. Rare but serious effects include depression, psychosis, heart rhythm changes, and cannabinoid hyperemesis syndrome (frequent vomiting).

Source: Mayo Clinic – Marijuana: Safety and Side Effects

Legal & Regulatory Notice

Medical marijuana is regulated by state law. Marijuana remains a Schedule I substance under U.S. federal law and is not prescribed in the traditional sense; it is recommended or certified for use, not prescribed. Initial evaluations may require in-person visits in certain states; renewals are often available via telemedicine, depending on local regulations.

Sources: DEA – Controlled Substances Act & Telehealth.org – Cannabis Prescribing and Telehealth

Product Quality & Safety

Only purchase medical cannabis from dispensaries licensed and regulated in your state. Unregulated products may contain contaminants or inaccurate THC/CBD concentrations, presenting safety risks.

Source: FDA – What To Know About Cannabis Products

Reporting Side Effects

If you experience unexpected or severe side effects from medical cannabis, notify your provider immediately and report them to the FDA’s MedWatch program: MedWatch Online or call 1-800-FDA-1088.

Your report helps improve safety for all patients.

Source: FDA – MedWatch Safety & Adverse Event Reporting

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