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Maryland Medical Marijuana Laws & Regulations 2026

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Maryland Cannabis Laws: Complete Legal Guide

Maryland became the 22nd state to legalize recreational cannabis when voters approved Constitutional Amendment 4 (Question 4) in November 2022. Adult-use sales began July 1, 2023. The state's medical cannabis program has been operational since 2014.

Is Marijuana Legal in Maryland?

Yes, both medical and recreational marijuana are legal in Maryland:

  • Medical Cannabis: Legal since December 1, 2017 (sales began)
  • Adult-Use Cannabis: Legal since July 1, 2023 (Constitutional Amendment 4)
  • Home Cultivation: Legal since July 1, 2023 (2 plants per household)

Key Legislation

LawCitationEffective Date
Natalie M. LaPrade Medical Cannabis Commission ActHealth-General Article, Title 13, Subtitle 33 (§13-3301 et seq.)2014
Constitutional Amendment 4 (Question 4)Maryland ConstitutionNovember 8, 2022
Cannabis Reform Act of 2023HB 556 / Chapter 254July 1, 2023
Adult-Use CannabisHealth-General Article, Title 36 (§13-3601 et seq.)July 1, 2023

Maryland Cannabis Administration (MCA)

The Maryland Cannabis Administration (formerly the Maryland Medical Cannabis Commission) oversees all cannabis licensing, regulation, and enforcement in the state.

Contact Information:

Adult-Use Cannabis (Recreational)

Under Health-General Article §13-3601 et seq., adults 21 and older may:

Possession Limits:

  • 1.5 ounces (42.5 grams) of cannabis flower
  • 12 grams of cannabis concentrate
  • 750 mg of THC in cannabis products
  • 2 cannabis plants for personal home cultivation

Home Cultivation:

  • Up to 2 flowering plants per household
  • Plants must be kept in an enclosed, locked space
  • Not visible from public areas
  • Only adults 21+ may cultivate
  • Cannot use butane or other flammable solvents for extraction

Prohibited Activities:

  • Public consumption (civil fine up to $250)
  • Consumption while operating a motor vehicle
  • Providing cannabis to persons under 21
  • Possession on school grounds or federal property
  • Consumption in the workplace
  • Exceeding possession limits

Medical Cannabis Program

Maryland's medical cannabis program operates under Health-General Article, Title 13, Subtitle 33. The program serves qualifying patients with debilitating medical conditions.

Qualifying Medical Conditions:

  1. Cachexia/wasting syndrome
  2. Anorexia
  3. Chronic pain
  4. Severe nausea
  5. Seizures
  6. Severe/persistent muscle spasms
  7. Glaucoma
  8. Post-traumatic stress disorder (PTSD)
  9. Any condition that is severe and resistant to conventional medicine, where cannabis may provide relief (physician discretion)

Medical Patient Benefits:

  • Higher possession limits (up to 120 grams/30-day supply)
  • Tax exemption from the 9% cannabis sales tax
  • Home cultivation (2 plants, same as adult-use)
  • Priority access and dedicated hours at some dispensaries

Taxation

Adult-Use Cannabis:

  • 9% state cannabis sales tax (July 1, 2023 - June 30, 2025)
  • Tax increases to 12% on July 1, 2025
  • Tax increases to 15% on July 1, 2028
  • 6% standard state sales tax also applies

Medical Cannabis:

  • Exempt from the 9% cannabis sales tax
  • Standard 6% sales tax applies

Penalties for Violations

Civil Penalties (Adults 21+):

ViolationPenalty
1.5 oz - 2.5 oz possessionCivil fine up to $250
Public consumptionCivil fine up to $250
Smoking in vehicleCivil fine up to $250

Criminal Penalties: Under Criminal Law Article §5-601:

AmountClassificationPenalty
> 2.5 oz (personal use)Civil violationFine only
Distribution without licenseFelonyUp to 5 years, $15,000 fine
Distribution to minorFelonyUp to 20 years
Distribution near schoolEnhanced penaltiesUp to 20 years

Under 21 Possession:

  • Civil citation and mandatory drug education
  • No criminal record for first offense

Driving Under the Influence

Driving under the influence of cannabis is prohibited under Maryland Transportation Article §21-902. Maryland uses an impairment standard (no per se THC limit).

DUI Penalties:

  • 1st offense: Up to $1,000 fine, up to 1 year jail, 12 points on license
  • 2nd offense: Up to $2,000 fine, up to 2 years jail
  • 3rd offense: Up to $3,000 fine, up to 3 years jail

Important: Medical cannabis patients are NOT exempt from DUI laws. The BeCannabis Smart campaign provides impaired driving education.

Employment Rights

Maryland provides some protections for medical cannabis patients:

  • Employers cannot refuse to hire solely based on medical cannabis patient status
  • Employers may prohibit cannabis use/impairment during work hours
  • Employers may maintain drug-free workplace policies for safety-sensitive positions
  • Federal contractors may have different requirements

Recreational users have limited employment protections under state law.

Local Regulations

Under the Cannabis Reform Act, local jurisdictions may:

  • Limit the number of cannabis establishments
  • Establish zoning requirements and buffer zones
  • Require local licenses in addition to state licenses
  • NOT ban the possession or use of cannabis by adults
  • NOT prohibit licensed dispensaries entirely (must allow reasonable access)

Social Equity Provisions

Maryland's Cannabis Reform Act includes significant social equity measures:

  • Priority licensing for social equity applicants
  • Community reinvestment funds from cannabis tax revenue
  • Automatic expungement of certain cannabis convictions
  • Small, minority, and women-owned business assistance

Dispensary Information

Cannabis may only be purchased from state-licensed dispensaries. Both medical patients and recreational consumers may purchase from licensed retailers.

Finding a Dispensary:

  • Use the MCA Dispensary Locator on the official website
  • Verify the business is licensed by the Maryland Cannabis Administration

Key Resources

Timeline of Legalization

DateEvent
2014Medical cannabis program established
December 2017First medical dispensary sales
November 8, 2022Voters approve Constitutional Amendment 4
January 1, 2023Possession of 1.5 oz decriminalized
July 1, 2023Adult-use sales begin, home cultivation allowed
July 1, 2025Cannabis tax increases to 12%
July 1, 2028Cannabis tax increases to 15%

This information reflects Maryland cannabis laws as of December 2025. Always consult official state sources and legal counsel for the most current requirements.

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FAQ

Common Questions About Maryland MMJ Cards

How much does a Maryland medical marijuana card cost in 2025?+
The total cost for a Maryland medical marijuana card includes two components: First, MMJ.com charges $149.99 for the physician evaluation and certification. This fee covers your telehealth consultation with a licensed Maryland doctor, your signed physician certification, and ongoing support throughout the registration process. Second, the state of Maryland charges a registration fee of $0 (free registration). This brings your total cost to approximately $149.99. If you are not approved by our physician, you will receive a full refund of the $149.99 evaluation fee—this is our 100% money-back guarantee.
Can I get my Maryland medical marijuana card online through telehealth?+
Yes, Maryland allows patients to receive their medical marijuana certification through telemedicine. MMJ.com offers a 100% online process where you can complete your evaluation via secure video call from anywhere in Maryland. Our HIPAA-compliant platform connects you with state-licensed physicians who are authorized to certify patients for the State Medical Marijuana Program. The online process is identical in validity to an in-person visit—your certification will be accepted by all Maryland dispensaries.
How long is a Maryland medical marijuana card valid for?+
A Maryland medical marijuana card is valid for 6 years (annual certification required) from the date of issuance. To maintain uninterrupted access to medical cannabis, you should begin the renewal process approximately 30 days before expiration. MMJ.com offers streamlined renewal appointments at the same $149.99 rate. During your renewal, your physician will reassess your condition and provide a new certification for the state registry.
What medical conditions qualify for a medical marijuana card in Maryland?+
Maryland has approved the following conditions for medical marijuana certification: Cancer, Chronic Pain, Epilepsy/Seizures, Glaucoma, HIV/AIDS, Multiple Sclerosis, PTSD, Crohn's Disease, and several others. The full list includes over 12 qualifying conditions. If you have a chronic condition causing significant symptoms that haven't responded well to conventional treatments, you may qualify. Our physicians can evaluate conditions on a case-by-case basis, as many states allow certification for "conditions of the same kind or class" as those explicitly listed.
How long does it take to get a Maryland medical marijuana card?+
With MMJ.com, you can receive your physician certification on the same day as your appointment—often within 15-30 minutes of your telehealth visit. After you receive your certification, you'll need to register with the State Medical Marijuana Program. State processing times vary, but most patients receive their official card within Same-day certification available. Many Maryland dispensaries allow patients to shop with a valid certification while waiting for the physical card to arrive.
How much cannabis can I possess with a Maryland medical marijuana card?+
Maryland medical marijuana patients are legally allowed to possess Varies by physician recommendation. This limit is designed to provide patients with an adequate supply for their medical needs while preventing diversion. Your physician may recommend specific amounts based on your condition. Exceeding possession limits, even with a valid card, can result in legal penalties.
Can I grow my own marijuana at home in Maryland with a medical card?+
No, Maryland does not currently allow home cultivation of marijuana, even for registered medical patients. All medical cannabis must be purchased from state-licensed dispensaries. These dispensaries offer a variety of products including flower, concentrates, edibles, tinctures, and topicals—all tested for safety and potency.
Does Maryland accept out-of-state medical marijuana cards (reciprocity)?+
Check with your state for current reciprocity laws. If you're a Maryland resident traveling to another state, your Maryland card may be accepted in states with reciprocity agreements. States known to accept out-of-state cards include Nevada, Maine, Missouri, Oklahoma (with additional fees), and Washington D.C. Always verify current laws before traveling with or purchasing medical cannabis in another state.
What happens during a Maryland medical marijuana evaluation?+
During your MMJ.com telehealth evaluation, you'll meet with a licensed Maryland physician via secure video call. The appointment typically lasts 10-20 minutes. Your doctor will review your medical history, discuss your symptoms and previous treatments, explain how medical cannabis might help your condition, answer your questions, and—if you qualify—provide your official physician certification. There's no physical exam required. We recommend having your medical records available, though they're not always mandatory.
Can I use my Maryland medical marijuana card at any dispensary?+
Yes, your Maryland medical marijuana card is valid at all state-licensed dispensaries throughout Maryland. There are currently numerous licensed dispensaries operating in the state. You can visit any dispensary you choose—there's no requirement to register with a specific location. Many dispensaries offer online menus, pre-ordering, and delivery services for patient convenience.

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Last Updated: December 15, 2024 · Reviewed by MMJ.com Medical Advisory Team