Maryland successfully transitioned from medical-only to full recreational cannabis legalization in 2023, with voters approving the measure by nearly 67%. The state recorded $87 million in cannabis sales in just the first month of recreational sales. Maryland allows home cultivation (2 plants per person), has reasonable possession limits (1.5 oz), and maintains a robust medical program alongside recreational access. The state has implemented social equity provisions to address past cannabis criminalization impacts. Public consumption is prohibited but enforcement is generally limited to fines. Maryland represents a successful model of comprehensive cannabis legalization through voter initiative.
For medical marijuana: 1) Get certified by a registered Maryland physician for a qualifying condition, 2) Register with the Maryland Medical Cannabis Commission online, 3) Upload required documents and pay fees, 4) Receive your medical cannabis ID card once approved. The process typically takes 2-4 weeks.
Medical marijuana qualifying conditions include: cachexia, anorexia, wasting syndrome, severe or chronic pain, severe nausea, seizures, severe or persistent muscle spasms, glaucoma, PTSD, or another chronic medical condition that is severe and for which other treatments have been ineffective, as determined by a licensed physician.
The Maryland Cannabis Administration oversees both medical and recreational cannabis programs. This agency handles licensing, regulation, compliance, and enforcement for all cannabis activities in Maryland, including cultivation, processing, and retail operations.
Yes, medical marijuana patients must register with the Maryland Medical Cannabis Commission to receive an ID card. This card is required to purchase medical cannabis from dispensaries and provides legal protections. Recreational users don't need registration - just valid government ID showing they're 21+.
Medical patients access cannabis through licensed medical dispensaries with their medical cannabis card. Recreational users 21+ can purchase from licensed adult-use dispensaries that began opening in 2023. Maryland has dispensaries throughout the state serving both markets.
Medical cannabis registration costs $50 for initial application and renewals. The medical cannabis ID card is valid for up to 3 years as determined by the certifying physician. Some patients may qualify for reduced fees based on participation in certain assistance programs.
