While cannabis remains federally illegal, rescheduling efforts to move it to Schedule III are underway. Most states, however, have their own legal frameworks.
Quick Overview
- Recreational & Medical (25 States + DC): Adults 21+ can possess and use cannabis legally.
- Medical Only (14 States): Only registered patients with qualifying conditions can access cannabis.
- CBD/Low-THC Only (8 States): Restricted to specific medical uses with negligible THC.
- Fully Illegal (3 States): No legal access for medical or recreational use.
Recreational & Medical (Fully Legal) – Adults 21+
West: Alaska, Arizona, California, Colorado, Montana, Nevada, New Mexico, Oregon, Washington
Midwest: Illinois, Michigan, Minnesota, Missouri, Ohio
Northeast: Connecticut, Delaware, Maine, Maryland, Massachusetts, New Jersey, New York, Rhode Island, Vermont
South/Other: Virginia, District of Columbia
Note: DC retail sales remain in a legal gray area; gifting is allowed, but sales are restricted.
Medical Marijuana Only
States with medical programs only (criminal penalties remain for recreational use):
- Alabama
- Arkansas
- Florida
- Hawaii
- Kentucky (program active as of 2025/2026)
- Louisiana
- Mississippi
- Nebraska (voters approved medical in 2024; implementation ongoing)
- New Hampshire
- North Dakota
- Oklahoma
- Pennsylvania
- South Dakota
- Utah
- West Virginia
Limited Medical (CBD / Low-THC Only)
These states only allow CBD or low-THC products for severe conditions:
- Georgia
- Indiana
- Iowa
- North Carolina
- South Carolina
- Tennessee
- Texas
- Wisconsin
Fully Illegal
States with no legal access for medical or recreational use:
- Idaho
- Kansas
- Wyoming
Key 2026 Trends to Watch
- Federal Rescheduling: Cannabis may move from Schedule I to Schedule III, recognizing medical use and lowering tax burdens on legal businesses.
- New Hampshire: House passed a legalization bill; Senate approval remains uncertain due to gubernatorial opposition.
- Hawaii: Legislative push to put adult-use legalization on the 2026 ballot.
- Virginia Retail: Adult possession is legal, but retail sales framework is still under negotiation.
Note: Local rules (“dry” counties) may still restrict sales or public consumption even in legal states. Always check state-specific statutes before purchasing or using cannabis.