2020 State of the States

2021 State of the State Report Coming Soon!
Learn about our upcoming changes to scoring and see our new 2021 report card!


Each year, Americans for Safe Access, the nation’s largest nonprofit that represents medical cannabis patients, doctors, and researchers, prepares a report that assesses legislative and regulatory improvements in medical cannabis programs across the country.

This comprehensive report provides a detailed analysis of the state of medical cannabis programs in 47 states, the District of Columbia, and four territories on an ‘A’ to ‘F’ scale.

This report is available online for you to read and share freely and you can find reports from previous years in our Reports Archive.

Watch our webinar recapping and explaining the report's key points

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Download a copy of the 2020 State of the States Report

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State and Territory Qualifying Condition Chart

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State of the States Scoring Rubric