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Ohio Medical Marijuana Laws & Regulations 2026

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02

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Ohio Marijuana Laws & Regulations 2026

Ohio has both a medical marijuana program and adult-use (recreational) cannabis program. Understanding the legal framework is essential for patients, consumers, and caregivers. This guide covers the key laws, regulations, and requirements as of December 2025.

Legal Framework Overview

Ohio's cannabis laws are governed by two main chapters of the Ohio Revised Code:

Is Marijuana Legal in Ohio?

Medical Marijuana: Legal since 2016 under House Bill 523. Patients with qualifying conditions can obtain medical marijuana from licensed dispensaries.

Adult-Use (Recreational): Legal since December 7, 2023 under Issue 2. Adults 21 and older can purchase and possess cannabis from licensed dispensaries.

Ohio Medical Marijuana Program

The Ohio Medical Marijuana Control Program is administered by the Division of Cannabis Control under the Ohio Department of Commerce and the State Board of Pharmacy.

Patient Requirements

  • Must have a qualifying medical condition diagnosed by a certified physician
  • Must be an Ohio resident
  • Must register with the State Board of Pharmacy's patient registry
  • Patients under 18 must have a designated caregiver

Possession Limits for Medical Patients

  • Up to a 90-day supply as determined by form and THC content
  • Specific amounts vary by product type (flower, edibles, oils, etc.)

Ohio Adult-Use Cannabis Program

Under Issue 2 (Ohio Revised Code Chapter 3780), adults 21 and older may:

Legal Possession Amounts (Age 21+)

  • Personal Possession: Up to 2.5 ounces of cannabis flower
  • At Home: Up to 15 grams of cannabis extract
  • Home Cultivation: Up to 6 plants per person, maximum 12 plants per household

Where You Can Purchase

  • Licensed adult-use dispensaries
  • Medical dispensaries with dual-use licenses

Consumption Laws

Where You CAN Use Cannabis

  • Private residences
  • Designated consumption areas at licensed establishments (where available)

Where You CANNOT Use Cannabis

  • Public places
  • Vehicles (even as a passenger)
  • Federal property
  • Schools and universities
  • Near minors
  • Workplaces (unless employer permits)

Driving Under the Influence

Driving while impaired by cannabis is illegal under Ohio Revised Code Section 4511.19. Ohio has per se limits for THC:

  • 2 nanograms per milliliter of blood, OR
  • 10 nanograms per milliliter of urine

Penalties for OVI (Operating a Vehicle Impaired) include:

  • First offense: Up to 180 days in jail, fines up to $1,075, license suspension up to 3 years
  • Repeat offenses: Mandatory jail time, higher fines, longer suspensions

Home Cultivation Rules (Adult-Use)

Under Issue 2, adults 21+ may grow cannabis at home:

  • Maximum 6 plants per adult
  • Maximum 12 plants per household
  • Plants must be kept in an enclosed, locked space
  • Plants must not be visible from public areas
  • Cannot sell or distribute home-grown cannabis

Note: Medical patients cannot grow cannabis at home under the medical program—home cultivation is only permitted under the adult-use law.

Penalties for Violations

Possession Over Legal Limits (Non-Medical)

Per Ohio Revised Code Section 2925.11:

  • Under 100 grams: Minor misdemeanor, up to $150 fine
  • 100-200 grams: Misdemeanor, up to 30 days jail, $250 fine
  • 200-1,000 grams: Felony 5th degree, 6-12 months, up to $2,500 fine
  • Over 1,000 grams: Felony 3rd degree, up to 5 years, up to $10,000 fine

Distribution/Sale Without License

  • Penalties range from misdemeanor to felony depending on amount
  • Enhanced penalties near schools, parks, or involving minors
  • Can include significant prison time and fines

Employment and Drug Testing

Ohio law does NOT protect employees from termination for cannabis use. Employers may:

  • Maintain drug-free workplace policies
  • Conduct pre-employment and random drug testing
  • Take disciplinary action for positive tests
  • Refuse to hire based on positive drug tests

However, employers cannot discriminate against someone solely for being a registered medical marijuana patient if they are not impaired at work.

Federal Property and Interstate Transport

Cannabis remains illegal under federal law (Schedule I controlled substance). This means:

  • Using or possessing cannabis on federal property (including national parks, federal buildings) is a federal crime
  • Transporting cannabis across state lines is a federal crime, even between two legal states
  • Federal employees may face termination for cannabis use

Local Regulations

Ohio municipalities may:

  • Regulate the location of cannabis businesses
  • Set operating hours for dispensaries
  • Implement local licensing requirements
  • Prohibit or limit the number of cannabis businesses

Always check local ordinances in your city or county.

Recent Legislative Updates (2023-2026)

  1. Issue 2 Passed (November 2023): Legalized adult-use cannabis, effective December 7, 2023
  2. House Bill 33 (October 2023): Updated medical marijuana program administration
  3. Senate Bill 288 (2024): Made modifications to Issue 2, including changes to:
    • Tax rates
    • Licensing procedures
    • Municipal opt-out provisions

Regulatory Agencies

Tax Benefits of Medical Cards

Even with adult-use legalization, a medical card offers benefits:

  • Lower tax rates: Medical purchases may have lower tax rates than recreational
  • Higher possession limits: 90-day supply vs. 2.5 ounces
  • Age: Patients 18+ can qualify (vs. 21+ for recreational)
  • Product access: Some medical-only products and higher potency options

Resources

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FAQ

Common Questions About Ohio MMJ Cards

How much does a Ohio medical marijuana card cost in 2025?+
The total cost for a Ohio 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 Ohio doctor, your signed physician certification, and ongoing support throughout the registration process. Second, the state of Ohio 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 Ohio medical marijuana card online through telehealth?+
Yes, Ohio 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 Ohio. Our HIPAA-compliant platform connects you with state-licensed physicians who are authorized to certify patients for the Ohio Medical Marijuana Control Program (OMMCP). The online process is identical in validity to an in-person visit—your certification will be accepted by all Ohio dispensaries.
How long is a Ohio medical marijuana card valid for?+
A Ohio medical marijuana card is valid for 1 year from the date of issuance. To maintain uninterrupted access to medical cannabis, you should begin the renewal process approximately 90 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 Ohio?+
Ohio has approved the following conditions for medical marijuana certification: AIDS/HIV, Alzheimer's Disease, Amyotrophic Lateral Sclerosis (ALS), Cancer, Chronic Pain, Chronic Traumatic Encephalopathy (CTE), Crohn's Disease, Epilepsy/Seizure Disorder, and several others. The full list includes over 23 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 Ohio 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 Ohio Medical Marijuana Control Program (OMMCP). State processing times vary, but most patients receive their official card within Same-day certification, 1-3 days for state card. Many Ohio 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 Ohio medical marijuana card?+
Ohio medical marijuana patients are legally allowed to possess 90-day supply (approximately 2.5 ounces per 90 days). 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 Ohio with a medical card?+
No, Ohio 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 Ohio accept out-of-state medical marijuana cards (reciprocity)?+
Ohio does not accept out-of-state medical marijuana cards. Visitors cannot purchase cannabis from Ohio dispensaries. If you're a Ohio resident traveling to another state, your Ohio 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 Ohio medical marijuana evaluation?+
During your MMJ.com telehealth evaluation, you'll meet with a licensed Ohio 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 Ohio medical marijuana card at any dispensary?+
Yes, your Ohio medical marijuana card is valid at all state-licensed dispensaries throughout Ohio. There are currently 100+ 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