Montana

Montana

36,422
Registered Patient Population
3.41%
of Total Population Represented by Patients
355
Total Medical Retail Locations Currently in Operation
103 : 1
Patients : Retail

Medical cannabis is legal in Montana. Registered patients with a qualified condition can use, possess, purchase, and cultivate medical cannabis and designate a caregiver to assist them. Patients and caregivers in Montana may possess up to 1 ounce and grow up to 4 mature plants at home. Patients in Montana face an inadequate number of dispensaries with a limited selection of products. Montana does not recognize out of state medical cannabis cards.

Patient Rights and Civil Protection 65/100   
Arrest Protection 40/40
Affirmative Defense 15/15
Parental Rights Protections 0/10
DUI Protections 0/5
Employment Protections 0/5
Explicit Privacy Standards 7/7
Housing Protections 3/5
Does Not Create New Criminal Penalties for Patients 0/5
Organ Transplants 0/5
Reciprocity 0/3
Access to Medicine 82/100   
Allows Distribution Programs 30/40
– Allows Access to Dried Flowers 15/15
– Allows Delivery 0/5
– No Sales Tax or Reasonable Sales Tax 4/5
– Allows for a Reasonable Number of Dispensaries 5/5
– Does Not Require Vertical Integration 2/2
– Ownership/Employment Restrictions 2/2
– 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 47/50
Adding New Conditions 6/10
– Law/Regulations Allow for New Conditions 3/5
– System Works for Adding New Conditions 3/5
Reasonable Access for Minors 9/10
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 3/5
Does Not Classify Cannabis as a Medicine of Last Resort 5/5
Functionality 85/100   
Patients Able to Access Medicine at Dispensaries or by Cultivation 45/50
No Significant Administrative or Supply Problems 13/15
Patients Can Receive Legal Protections Within Reasonable Time Frame of Doctor's Recommendation 10/10
Reasonable Possession Limits 3/5
Reasonable Purchase Limits 5/5
Allows Patients to Medicate Where They Choose 5/5
Covered by Insurance/State Health Aid 0/3
Financial Hardship (Fee Waivers/Discount Medicine) 4/7
Consumer Safety and Provider Requirements 87/100   
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 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 3.34/5
– Active Compound Identification 1.67/1.67
– Contaminants 0/1.67
– Potency 1.67/1.67
Grow/Cultivation 24/25
Staff Training 4/5
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 20.34/25
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 1/1
Product Labeling 3.34/5
– 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 4/5
Laboratory Operations 20/25
Staff Training 5/5
Method Validation in Accordance with AHP Guidelines 0/5
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 16/20   
Delivery Available? 0/6
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

Montana Medical Marijuana Laws & Regulations

In November 2004, Montana voters by a significant margin (62 percent) passed Initiative I-148, allowing certain patients with specific medical conditions to alleviate their symptoms through the limited use of marijuana under medical supervision.

Becoming a Patient in Montana

Montana issues ID cards allowing qualified patients to use marijuana legally. Patients may designate caregivers to assist them with taking and growing their medicine.

Recommending Cannabis in Montana

Medical professionals recommending medical cannabis must be a physician duly licensed to practice medicine in Montana under MCA Title 37, Chapter 3. Physicians must assume primary responsibility for providing management and routine, complete a full assessment of the patient’s medical history and current condition, review all prescription and non-prescription medications and supplements used by the patient, and attest to ongoing care. Physicians are required to discuss potential harms and side effect of medical cannabis with their patient.

The State of Medical Marijuana in Montana

The State of Medical Marijuana in Montana