Missouri Cannabis Laws

Is cannabis legal in Missouri?

Missouri has decriminalized cannabis, but adult use is still illegal. Only those with a valid medical marijuana certificate and MMJ card can legally consume cannabis in Missouri.

What are the medical marijuana laws in Missouri?

Medical cannabis laws in Missouri

2014

• Governor Jay Nixon signed into law House Bill 2238 – the Missouri Medical Marijuana Bill – to legalize the use of CBD oil to treat persistent seizures. HB 2238 only allows hemp extract that contains at least 5% cannabidiol (CBD) and no more than 0.3% tetrahydrocannabinol (THC).

2018

• Amendment 2 Medical Marijuana and Veteran Healthcare Services Initiative – this amendment was approved in November 2018 with 66% of the vote. It legalised marijuana for medical purposes and allowed physicians to recommend cannabis use to patients based on the listed conditions.

Recreational cannabis laws in Missouri

Recreational, adult-use marijuana is currently illegal in Missouri. There is some appetite for non-medical legalization in MI, but this may take a few years yet, and there will likely be delays in implementation when it does come around.

What medical conditions qualify for a Medical Marijuana Card in Missouri?

The Missouri law lists the following medical conditions as qualifiers for a medical cannabis card:

• AIDS/HIV
• Alzheimer’s Disease (AD)
• Autism Spectrum Disorder
• Cachexia, or Wasting Syndrome
• Cancer or cancer treatment, inc. side-effects of chemotherapy
• Crohn’s Disease
• Diabetes
• Debilitating Psychiatric Disorders diagnosed by a licensed psychiatrist
• Epilepsy and disorders that can cause seizures
• Glaucoma
• Hepatitis C
• Huntington’s Disease (HD)
• Inflammatory Bowel Diseases (IBDs)
• Intractable Migraines (unresponsive to other treatments)
• Multiple Sclerosis (MS)
• Neuropathies
• Parkinson’s Disease (PD)
• PTSD
• Seizures
• Sickle Cell Anemia
• Tourette’s Syndrome (TS)
• Wasting Syndrome
• Severe, persistent pain or persistent muscle spasms
• An alternative to physically addictive prescription medications
• Any Terminal Illness

How do I get certified for medical cannabis in Missouri?

With Leafwell, you can get your Missouri Medical Marijuana Card in 4 simple steps:

1. Register online with Leafwell – It’s quick and easy! Plus all of your data and medical records are secure on our state-of-the-art telemedicine platform. Leafwell has an experienced team ready to meet with you. This consultation fee is $125 for an examination.
2. Attend your online appointment and get approved – The process is quick, easy and HIPAA-compliant. Most appointments take 15 minutes or less. Once approved, the physician will submit your details electronically to the state.
3. Complete the application via the Missouri DHSS website online – This must be done within 30 days of receiving your Certification. You will use your SSN to match your application with the submitted physician certificate. The department will either approve or deny the application within 30 days of receipt of the completed application.
4. Your medical marijuana card will be sent to you via mail within 30 days of your submission – Once you have your card, you can log into the Missouri Medical Marijuana Portal for more information at any time. Please note that it is the state that issues your with a medical marijuana card – Leafwell will not be sending you anything. We also offer renewal services from $125. If your MMJ Card is due to expire, get in touch with Leafwell at least 30 days before the expiration date and book your appointment to obtain your certificate.

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Is telemedicine allowed for medical cannabis consultations in Missouri?

Yes, telemedicine is legal in Missouri and you can get certified for cannabis online.

How much cannabis can I possess in Missouri with an MMJ Card

For medical card holders = 4 oz. every 30 days. More may be permitted based upon physician’s recommendation.

Is it legal to grow cannabis in Missouri?

For medical card holders = Up to 6 plants may be grown by a patient with a valid medical marijuana certificate and a Patient Cultivation Card.

Does Missouri accept out-of-state cards?

Missouri does not have medical marijuana reciprocity, so does not recognize or honor medical marijuana cards from other states.

Will my Missouri card be accepted in other states?

A Missouri medical marijuana card is recognized by other states that have medical marijuana reciprocity allowances.

The following states accept or recognize out-of-state medical marijuana cards:

• Arizona
• Maine
• Massachusetts
• Michigan
• Montana
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• Oklahoma
• Puerto Rico
• Rhode Island
• US Virgin Islands
• Utah
• Washington, D.C.

However, this does not always mean you can purchase cannabis at a medical marijuana dispensary (non-medical adult use is fine) – just that you are protected by the state’s medical marijuana laws to some extent. It is wise to call the dispensary ahead if you are a medical cannabis patient from another state and you intend on purchasing medical marijuana.

The qualifying condition usually has to match between states, so if your qualifying condition is accepted in one state and not your visiting state, your recommendation is not necessarily valid. You are also beholden to the visiting state’s medical marijuana laws, not the state that issued your card.

The following states accept out-of-state applications, allowing a visiting patient application to use medical cannabis for the duration of their stay:

• Arkansas
• California
• Hawaii
• West Virginia (cancer patients only)

Are there employment laws protecting medical cannabis card holders in Missouri?

There are no specific protections for medical marijuana patients in Missouri with regards to employment. Employers may still test for cannabis, and employees cannot legally use medical marijuana whilst at work. It is at the employer’s discretion whether they wish to allow a medical marijuana patient to continue their work.

What are the medical cannabis product testing requirements in Missouri?

Cannabis is tested in “lots” in Missouri. Cannabinoids like THC, THCA, CBD, CBDA, and CBN must be tested for, as well as contaminants, pollutants and chemical residue.

Where is it safe to purchase cannabis in Missouri?

In all states with a medical marijuana program, the only way to purchase medicinal cannabis products is via a legally-licensed dispensary or pharmacy, or another legally designated space to purchase cannabis. Only those with a legal license to sell cannabis can actually do so.

Where is it safe to consume marijuana in Missouri?

All states with a medical marijuana program have some restrictions on where a person can legally use cannabis. Near schools, nurseries, parks or other places where children are expected to be, using cannabis is illegal. Use of cannabis on or in federal land or buildings, hospitals or any other such healthcare space is also illegal. Private members club and landowners may also prohibit cannabis use on their property or restrict it at their discretion.

The safest place to use medical cannabis is in the safety of your own home. It is wise to use common sense and generally keep consumption out of public view, and utilize discreet consumption methods wherever possible.