2020 State of the States

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


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.

In This Section

Download a copy of the 2020 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 2020 State of the States report. This contains information on how categories are evaluated and how points are assigned to each.