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Which states will accept out-of-state medical marijuana cards in 2024?

lists of states who accept out-of-state medical marijuana card

In recent years, the landscape of medical marijuana legalization has undergone a profound transformation across the United States. As more states embrace the therapeutic benefits of cannabis, patients with valid medical marijuana cards find themselves wondering whether their authorization holds weight beyond state lines.

This comprehensive guide aims to shed light on the intricate web of regulations, helping patients understand which states accept out-of-state medical marijuana cards.

Understanding the Basics:

Before delving into the specifics, it’s crucial to understand the basics of medical marijuana card reciprocity. While the legalization of medical cannabis falls under state jurisdiction, federal law still considers marijuana a Schedule controlled substance.

This creates a complex scenario where states navigate their regulations, often leading to variations in the acceptance of out-of-state medical marijuana cards.

States with Reciprocity:

Several states have embraced the concept of reciprocity, allowing visitors with valid out-of-state medical marijuana cards to access medical cannabis within their borders. These states recognize the legitimacy of cards issued by other states, fostering a more patient-friendly environment.


Arizona stands out as a state with a robust medical marijuana program that acknowledges out-of-state cards. Visitors can purchase medical cannabis from licensed dispensaries for the duration of their stay.


Hawaii extends a warm aloha to out-of-state medical marijuana cardholders. Visitors can enjoy the therapeutic benefits of cannabis by presenting their valid cards and identification at authorized dispensaries.


The picturesque state of Maine allows individuals with out-of-state medical marijuana cards to purchase cannabis for medical use. It’s essential to verify the specific regulations to ensure compliance.

Medical marijuana patients from certain states can use their patient status to purchase at any of Maine’s medical dispensaries with proper identification. Maine will currently honor qualified patients from the following states:

New Hampshire
New Jersey
New Mexico
New York
North Dakota
Rhode Island
Washington, DC.

More information about Maine’s marijuana program can be found here


Michigan, known for its progressive stance on cannabis, accepts out-of-state medical marijuana cards. Visitors can explore the state’s dispensaries and access medical cannabis products.


The glitzy state of Nevada welcomes visitors with open arms, recognizing out-of-state medical marijuana cards. Tourists can indulge in the vibrant cannabis scene during their stay.

New Hampshire:

New Hampshire permits individuals with valid out-of-state medical cannabis cards to purchase and use medical cannabis. It’s essential to stay informed about any updates or changes in regulations.


Oklahoma’s inclusive medical marijuana program allows out-of-state cardholders to access cannabis products. Visitors should adhere to local laws and guidelines to ensure a seamless experience.

Puerto Rico:

While not a state, Puerto Rico deserves mention for its acceptance of out-of-state medical cannabis cards. The island’s medical cannabis program provides relief to travelers seeking alternative therapies.

While some states fully embrace out-of-state medical marijuana cards, others have more restrictive policies, often limiting reciprocity to specific conditions or timeframes.


Arkansas extends limited reciprocity, allowing out-of-state cardholders to purchase and use medical cannabis for a short duration. Visitors should familiarize themselves with the state’s regulations to avoid any complications.


Louisiana permits out-of-state medical marijuana cardholders to use cannabis for qualifying conditions. However, the state’s regulations may require visitors to follow certain guidelines during their stay.

Rhode Island:

Rhode Island recognizes out-of-state medical marijuana cards but imposes restrictions on the amount and type of cannabis that visitors can purchase. It’s crucial to stay informed about any changes in regulations.

States without Reciprocity:

Several states, unfortunately, do not recognize out-of-state medical marijuana cards. Patients in these states must adhere to local laws and explore alternative options for obtaining medical cannabis.


Idaho maintains a strict stance on cannabis, and out-of-state medical marijuana cards are not recognized. Patients should exercise caution and refrain from cannabis use within the state.


Kansas, like Idaho, does not accept out-of-state medical marijuana cards. Visitors should be aware of local laws and avoid engaging in any activities that violate state regulations.

South Dakota:

South Dakota’s conservative approach to cannabis extends to its lack of reciprocity for out-of-state medical marijuana cards. Visitors should respect the state’s stance on cannabis use.


The evolving landscape of medical marijuana legalization in the United States brings both opportunities and challenges for patients with out-of-state medical marijuana cards. While some states warmly embrace visitors seeking therapeutic relief, others maintain stricter regulations. Patients need to research and stay informed about the specific policies of the states they plan to visit, ensuring a smooth and lawful experience with medical cannabis.

As the national conversation around cannabis continues to evolve, more states will likely reevaluate their stance on out-of-state medical marijuana card acceptance. Patients, advocates, and policymakers play crucial roles in shaping the future of medical marijuana reciprocity, aiming to create a more cohesive and patient-centered approach to cannabis access across the state.