Maryland

Maryland

108,455
Registered Patient Population
1.79%
of Total Population Represented by Patients
102
Total Medical Retail Locations Currently in Operation
1,063 : 1
Patients : Retail

Medical cannabis is legal, registered patients and their designated caregivers are allowed to obtain and possess a 30-day supply of cannabis, but personal cultivation is prohibited. Medical cannabis prices remain some of the highest in the country which poses a barrier to access for many patients. There is no reciprocity in Maryland for visiting patients.

Patient Rights and Civil Protection 60/100   
Arrest Protection 40/40
Affirmative Defense 13/15
Parental Rights Protections 0/10
DUI Protections 0/5
Employment Protections 0/5
Explicit Privacy Standards 7/7
Housing Protections 0/5
Does Not Create New Criminal Penalties for Patients 0/5
Organ Transplants 0/5
Reciprocity 0/3
Access to Medicine 76/100   
Allows Distribution Programs 39/40
– Allows Access to Dried Flowers 15/15
– Allows Delivery 5/5
– No Sales Tax or Reasonable Sales Tax 5/5
– Allows for a Reasonable Number of Dispensaries 5/5
– Does Not Require Vertical Integration 2/2
– Ownership/Employment Restrictions 1/2
– Provisions for Labor Standards 2/2
– Environmental Impact Regulations 2/2
– Choice of Dispensary Without Restrictions 2/2
Noncommercial Cultivation 0/20
– Personal Cultivation 0/15
– Collective Gardening 0/5
Explicit Right to Edibles/Concentrates/Other Forms 10/10
Does not Impose Bans or Limits on THC 10/10
Does not Impose Bans on CBD 10/10
Local Bans/Zoning 7/10
Comprehensive Qualifying Conditions 44/50
Adding New Conditions 9/10
– Law/Regulations Allow for New Conditions 5/5
– System Works for Adding New Conditions 4/5
Reasonable Access for Minors 10/10
Reasonable Caregiver Background Checks 3/4
Number of Caregivers 2/2
Patient/Practitioner-Focused Task Force or Advisory Board 2/2
Reasonable Fees (Patients and Caregivers) 9/10
Allows Multiple-Year Registrations 2/2
Reasonable Physician Requirements 4/5
Does Not Classify Cannabis as a Medicine of Last Resort 5/5
Functionality 81/100   
Patients Able to Access Medicine at Dispensaries or by Cultivation 45/50
No Significant Administrative or Supply Problems 12/15
Patients Can Receive Legal Protections Within Reasonable Time Frame of Doctor's Recommendation 9/10
Reasonable Possession Limits 4/5
Reasonable Purchase Limits 4/5
Allows Patients to Medicate Where They Choose 4/5
Covered by Insurance/State Health Aid 0/3
Financial Hardship (Fee Waivers/Discount Medicine) 3/7
Consumer Safety and Provider Requirements 100/100   
Dispensing 25/25
Staff Training 5/5
Standard Operating Procedures 5/5
– Facility Sanitary Conditions 1.25/1.25
– Storage Protocols 1.25/1.25
– Reasonable Security Protocols 1.25/1.25
– Inventory Control 1.25/1.25
Recall Protocol and Adverse Event Reporting 5/5
Product Labeling 5/5
– Product Contents, Including Source Material Identification 1.67/1.67
– Allergens 1.67/1.67
– Potency/Compound Identification 1.67/1.67
Required Testing 5/5
– Active Compound Identification 1.67/1.67
– Contaminants 1.67/1.67
– Potency 1.67/1.67
Grow/Cultivation 25/25
Staff Training 5/5
Standard Operating Procedures 5/5
– Facility and Equipment Sanitary Conditions 0.71/0.71
– Workforce Safety Protocols 0.71/0.71
– Storage Protocols (Short-Term and Long-Term Storage) 0.71/0.71
– Reasonable Security Protocols 0.71/0.71
– Batch and Lot Tracking 0.71/0.71
– Disposal/Waste 0.71/0.71
– Water Management 0.71/0.71
Pesticide Guidance 5/5
– Pesticide Guidance 2.5/2.5
– Pesticide Labeling 2.5/2.5
Required Testing 5/5
– Active Ingredient Identification 1.25/1.25
– Contaminants 1.25/1.25
– Potency 1.25/1.25
– Sample Retention 1.25/1.25
Recall Protocol and Adverse Event Reporting 5/5
Manufacturing 25/25
Staff Training 5/5
Standard Operating Procedures 5/5
– Facility and Equipment Sanitary Conditions 1/1
– Workforce Safety Protocols 1/1
– Storage Protocols 1/1
– Reasonable Security Protocols 1/1
– Batch and Lot Tracking 1/1
Product Labeling 5/5
– Product Contents, Including Source Material Identification 1.67/1.67
– Allergens 1.67/1.67
– Potency and Compound Information 1.67/1.67
Required Testing 5/5
– Active Ingredient Identification 1/1
– Contaminants 1/1
– Potency 1/1
– Shelf Life Testing 1/1
– Sample Retention 1/1
Recall Protocol and Adverse Event Reporting 5/5
Laboratory Operations 25/25
Staff Training 5/5
Method Validation in Accordance with AHP Guidelines 5/5
Result Reporting 5/5
Independent or Third Party 5/5
Standard Operating Procedures and Protocols 5/5
– Equipment and Instrument Calibration 0.83/0.83
– Sample Tracking 0.83/0.83
– Facility and Equipment Sanitary Conditions 0.83/0.83
– Disposal/Waste 0.83/0.83
– Storage Protocols 0.83/0.83
– Workforce Safety Protocols 0.83/0.83
Covid Response 18/20   
Delivery Available? 4/6
Curbside Pickup Available? 2/2
Medical Cannabis Essential? 7/7
Telemedicine Available? 5/5
Excerpted from ASA's 2020 State of the States Report.

In This Section

Maryland Medical Cannabis Laws & Regulations

In 2003, Maryland passed the Darrell Putman Compassionate Use Act recognizing medical marijuana and establishing a so-called affirmative defense for patients.

Becoming a Patient in Maryland

A patient must register on the Commission’s website by providing their name, address, date of birth, and uploading a copy of their state-issued ID card. There is no fee to register with the Commission. Once registered, a patient will need their healthcare provider, who is registered with the Commission, to submit a written certification on the Commission website.

Becoming a Caregiver, Grower, or Dispensary in Maryland

Caregivers may be appointed by a patient, and cannot care for more than five qualifying patients. Caregivers must be at least 21 years old and may be a family member of the patient. Caregivers will also be required to submit an application through the Commission’s website. A patient may designate up to two persons as caregivers.

Recommending Cannabis in Maryland

Maryland healthcare providers are required to register online with the Commission. Physicians must provide their Maryland physician’s license number and controlled dangerous substance number to complete the form. In addition, physicians must specify the conditions or diseases that they plan to treat, as well as any criteria for including or excluding patients. This form must be renewed every two years.

Maryland Advocacy

Find local ASA Chapters, Action Groups and Affiliates in Maryland and get involved in local campaigns.

The State of Medical Marijuana in Maryland

The State of Medical Marijuana in Maryland