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Delaware Medical Marijuana Qualifying Conditions

Delaware's Medical Marijuana Act under 16 Del.C. ss 4902A lists cancer, ALS, agitation of Alzheimer's disease, PTSD, autism spectrum disorder with self-injurious behavior, Tourette syndrome, glaucoma, HIV/AIDS, intractable epilepsy, severe debilitating pain unresponsive to treatment for more than three months, seizures, severe and persistent muscle spasms, terminal illness, cachexia, anxiety, and chronic debilitating migraines. Delaware residents 65 and older may self-certify without a physician recommendation.

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Dr. Carla Antola

Dr. Carla Antola, MD

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Delaware Qualifying Conditions: Detailed Guide

Delaware Qualifying Conditions Update (HB 285)

In a significant expansion of patient access, Delaware passed House Bill 285 (effective July 1, 2024), which fundamentally changed how patients qualify for the state's medical marijuana program.

Provider Discretion

The most important change is the removal of the strict, limited list of debilitating medical conditions. Under the current law, healthcare providers can now certify any diagnosed condition they believe would benefit from medical marijuana use.

This empowers your doctor to make a clinical determination based on your unique health profile, rather than forcing patients to fit into a rigid set of predefined categories.

Historically Recognized Conditions

While provider discretion is now the standard, the state previously recognized (and providers commonly still certify for) conditions such as:

  • Cancer
  • Terminal Illness
  • Positive status for Human Immunodeficiency Virus (HIV) or Acquired Immune Deficiency Syndrome (AIDS)
  • Decompensated Cirrhosis
  • Amyotrophic Lateral Sclerosis (ALS)
  • Agitation of Alzheimer's Disease
  • Post-Traumatic Stress Disorder (PTSD)
  • Intractable Epilepsy
  • Autism with aggressive behavior
  • Glaucoma
  • Chronic Debilitating Migraine
  • A chronic or debilitating disease or medical condition or its treatment that produces:
    • Cachexia or Wasting Syndrome
    • Severe, debilitating pain that has not responded to previously prescribed medication
    • Intractable Nausea
    • Seizures
    • Severe and persistent muscle spasms, including multiple sclerosis

If you suffer from any condition that impacts your quality of life, a telehealth consultation with one of our licensed Delaware providers can determine if medical cannabis is an appropriate treatment option for you.

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FAQ

Common Questions About Delaware Qualifying Conditions

What conditions qualify for a Delaware medical marijuana card?

Delaware's Medical Marijuana Act under 16 Del.C. ss 4902A covers cancer, decompensated cirrhosis, ALS, agitation of Alzheimer's disease, PTSD, autism spectrum disorder with self-injurious behavior, Tourette syndrome, glaucoma, HIV/AIDS, intractable epilepsy, severe debilitating pain that has not responded to previously prescribed medication or surgical measures for more than three months, severe nausea, seizures (including epilepsy), severe and persistent muscle spasms (including those characteristic of MS), terminal illness, cachexia or wasting syndrome, anxiety, and chronic debilitating migraines.

Does Delaware let seniors self-certify for medical marijuana?

Yes. Under 16 Del.C. ss 4904A, Delaware residents aged 65 or older may self-certify for a Delaware medical marijuana card without a physician's recommendation. The patient submits the application directly to the Delaware Office of Medical Marijuana (OMM) with proof of age and Delaware residency. This is one of the most unusual program features in any state medical marijuana program.

Does chronic pain qualify in Delaware?

Yes, with a statutory threshold. 16 Del.C. ss 4902A covers 'severe debilitating pain that has not responded to previously prescribed medication or surgical measures for more than three months OR for which other treatment options have produced serious side effects.' The certifying Delaware physician documents both the 3-month duration AND the failure of prior treatment (or serious side-effect history).

Does anxiety qualify for a Delaware medical marijuana card?

Yes. Anxiety was added to Delaware's enumerated qualifying conditions under 16 Del.C. ss 4902A in 2018. The certifying Delaware physician documents the clinical anxiety diagnosis. This makes Delaware one of the more permissive closed-list states for anxiety-primary certifications.

Does PTSD qualify in Delaware?

Yes. PTSD is one of the enumerated qualifying conditions under 16 Del.C. ss 4902A. Documentation from a mental-health provider, primary care physician, or VA medical record (the Wilmington VA Medical Center or community-based outpatient clinics in Dover, Sussex, or Kent County) supports certification.

Does autism qualify for a Delaware medical marijuana card?

Yes, with a severity threshold. 16 Del.C. ss 4902A covers 'autism spectrum disorder with self-injurious behavior.' The autism must be accompanied by documented self-injurious behavior; mild or moderate autism without self-injurious behavior does not satisfy the statutory standard. Pediatric certification requires parent or legal-guardian consent.

What documentation do I need for Delaware certification?

Delaware-licensed physicians need medical records that document your diagnosis of one of the listed qualifying conditions. For the chronic-pain qualifier specifically, documentation of the 3-month duration AND prior treatment failure or serious side effects is essential. Acceptable records include notes from a primary care physician or specialist, hospital records, pharmacy records, and VA records. MMJ.com's Delaware-licensed physicians review uploaded records during the telehealth visit and submit the certification to the Delaware OMM.

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Editorial oversight by: John Progar, CEO & FounderLast Verified: May 2026

Last Updated: May 2026