Missouri

Missouri

22,706
Registered Patient Population
0.36%
of Total Population Represented by Patients
0
Total Medical Retail Locations Currently in Operation
N/A
Ratio of Patients to Retail Location

Medical cannabis is legal in Missouri, however dispensaries have yet opened for patients. A registered patient over the age of 18 may apply for a home cultivation licence. Missouri does not recognize out of state medical cannabis cards.

Patient Rights and Civil Protection 67/100   
Arrest Protection 35/40
Affirmative Defense 15/15
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 5/5
Organ Transplants 5/5
Reciprocity 0/3
Access to Medicine 82/100   
Allows Distribution Programs 30/40
– Allows Access to Dried Flowers 15/15
– Allows Delivery 3/5
– No Sales Tax or Reasonable Sales Tax 3/5
– Allows for a Reasonable Number of Dispensaries 5/5
– Does Not Require Vertical Integration 2/2
– Ownership/Employment Restrictions 0/2
– Provisions for Labor Standards 0/2
– Environmental Impact Regulations 0/2
– Choice of Dispensary Without Restrictions 2/2
Noncommercial Cultivation 15/20
– Personal Cultivation 15/15
– 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 50/50
Adding New Conditions 10/10
– Law/Regulations Allow for New Conditions 5/5
– System Works for Adding New Conditions 5/5
Reasonable Access for Minors 8/10
Reasonable Caregiver Background Checks 4/4
Number of Caregivers 2/2
Patient/Practitioner-Focused Task Force or Advisory Board 0/2
Reasonable Fees (Patients and Caregivers) 8/10
Allows Multiple-Year Registrations 0/2
Reasonable Physician Requirements 5/5
Does Not Classify Cannabis as a Medicine of Last Resort 3/5
Functionality 32/100   
Patients Able to Access Medicine at Dispensaries or by Cultivation 0/50
No Significant Administrative or Supply Problems 8/15
Patients Can Receive Legal Protections Within Reasonable Time Frame of Doctor's Recommendation 7/10
Reasonable Possession Limits 5/5
Reasonable Purchase Limits 5/5
Allows Patients to Medicate Where They Choose 3/5
Covered by Insurance/State Health Aid 0/3
Financial Hardship (Fee Waivers/Discount Medicine) 4/7
Consumer Safety and Provider Requirements 86/100   
Dispensing 22/25
Staff Training 4/5
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 3/5
– Product Contents, Including Source Material Identification 1.67/1.67
– Allergens 0/1.67
– 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 21/25
Staff Training 4/5
Standard Operating Procedures 5.0/5
– 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 0.7/0.71
– Disposal/Waste 0.71/0.71
– Water Management 0.71/0.71
Pesticide Guidance 3/5
– Pesticide Guidance 2.5/2.5
– Pesticide Labeling 0/2.5
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 21/25
Staff Training 4/5
Standard Operating Procedures 4/5
– Facility and Equipment Sanitary Conditions 1/1
– Workforce Safety Protocols 0/1
– Storage Protocols 1/1
– Reasonable Security Protocols 1/1
– Batch and Lot Tracking 1.00/1
Product Labeling 3/5
– Product Contents, Including Source Material Identification 1.67/1.67
– Allergens 0/1.67
– 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 21/25
Staff Training 4/5
Method Validation in Accordance with AHP Guidelines 5/5
Result Reporting 3/5
Independent or Third Party 5/5
Standard Operating Procedures and Protocols 4.2/5
– 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 0/0.83
Covid Response 7/20   
Delivery Available? 2/6
Curbside Pickup Available? 0/2
Medical Cannabis Essential? 0/7
Telemedicine Available? 5/5
Excerpted from ASA's 2020 State of the States Report.

In This Section

Missouri Medical Marijuana Laws and Regulations

In 2014, Missouri passed HB 2238, which creates a legal right for certain patients to obtain, possess, and use “hemp extracts” in limited circumstances. The law defines a “hemp extract” as a preparation of cannabis that contains at least 5% CBD and no more than 0.3% THC.

Becoming a Patient in Missouri

Only patients with intractable epilepsy are eligible for legal protections in Missouri. In order for a patient with intractable epilepsy to be enrolled in the program, they must obtain a written recommendation from a neurologist.

Recommending Cannabis in Missouri

Only neurologists who are licensed in Missouri may issue a written recommendation to a patient to treat intractable epilepsy with CBD oil.

Becoming a Caregiver, Producer, or Provider in Missouri

There are no provisions for caregivers under HB 2238; however, a parent or legal guardian must be the registered cardholder for a patient under the age of 18. HB 2238 does include provisions for producers and providers of CBD oil (known under Missouri law as "hemp extract").

The State of Medical Marijuana in Missouri

The State of Medical Marijuana in Missouri