Montana has both medical (since 2004) and recreational (since 2022) cannabis programs operating successfully. Voters approved recreational legalization through Initiative I-190 in 2020, which took effect in 2022. The state allows home cultivation (4 mature plants), has reasonable possession limits (1 oz), and maintains both medical and recreational markets. Montana has implemented social equity provisions and generates cannabis tax revenue for various state programs. The state continues to refine its regulatory framework while maintaining access for both patients and adult consumers. Some legislators have attempted to restrict THC potency and impose additional regulations, but the core legalization framework remains intact.
For medical marijuana: 1) Get a written recommendation from a licensed Montana physician for a qualifying condition, 2) Submit an application to the Montana Department of Public Health and Human Services with physician recommendation and required documents, 3) Pay application fees, 4) Receive medical marijuana card upon approval.
Medical marijuana qualifying conditions include: cancer, glaucoma, HIV/AIDS, cachexia or wasting syndrome, severe or chronic pain, severe nausea, seizures including epilepsy, severe or persistent muscle spasms including multiple sclerosis, PTSD, traumatic brain injury, and any other medical condition or treatment approved by the Montana Department of Public Health and Human Services.
The Montana Department of Revenue's Cannabis Control Division oversees both medical and recreational cannabis programs. The division handles licensing, regulation, compliance, and enforcement for cannabis cultivation, processing, testing, and retail operations throughout the state.
Yes, medical marijuana patients must register with the Montana Department of Public Health and Human Services to receive a medical marijuana registry identification card. This card provides access to medical dispensaries and legal protections. Recreational users don't need registration.
Medical patients access cannabis through licensed medical dispensaries with their medical marijuana card. Recreational users 21+ can purchase from licensed adult-use dispensaries. Montana has dispensaries throughout the state, with many serving both medical and recreational customers.
Medical marijuana registration costs around $25 for patients. Cards are valid for one year and must be renewed with updated physician certifications. Some patients may qualify for reduced fees, and the state has worked to keep costs affordable for patients.
