2019 State of the States

A collage of example pages from the 2019 State of the States Report

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. We also encourage you to send this report to your state lawmakers using our online tool.

You can review the five key takeaways from the report on our blog.

In This Section

Improve Your State's Grade

Please use our online outreach tool to get your state's grade into the hands of your state lawmakers. Tell them about your experiences with your medical cannabis law and let them know that this report can help them better serve their patient constituents.

Donate today to send a copy of the report to your legislators

By donating you can ensure that your elected officials know that their constituents care about medical cannabis access and provide them with the education and policy tools to improve safe access in your state.

Download a copy of the 2019 State of the States Report

This report is available as a PDF for you to download for use on a computer, phone or digital reader.

State and Territory Qualifying Condition Chart

View the full chart of which health conditions qualify a patient to receive a medical cannabis recommendation in every state and territory. This is the chart we use when evaluating and comparing medical cannabis programs.

State of the States Scoring Rubric

View the full grading rubric that we use to determine a state's grade for the 2019 State of the States report. This contains information on how categories are evaluated and how points are assigned to each.