Travel Guide

FOR U.S. MEDICAL MARIJUANA CARDS

Travel Guide

FOR U.S. MEDICAL MARIJUANA CARDS

Map current at time of writing. *AZ, MT, NJ, & SD have approved recreational or medical marijuana legislation awaiting enactment in 2021.

What is reciprocity?

The majority of States that offer some form of medical marijuana program will have some way to buy marijuana legally while visiting other legal states. For example; when I (I Missouri medical patient) decides that I want to visit family in Oklahoma (another medically legal state) I can apply with the Oklahoma Department of Health and Senior Services as a “temporary visitor”. If approved as a “visitor” I will be mailed a card stating that I can legally buy medical marijuana in the state of Oklahoma while visiting (generally these passes see 30 days until expiration). However, even though I technically am legally able to purchase and possess medical marijuana products in both BORDERING states, it is still federally ILLEGAL to cross state lines while possessing that state’s marijuana products.

Texas reciprocity 2022

Since Texas’ medical marijuana program is dynamically different from the majority; i.e, they are much more strict. Texas does not issue “medical marijuana cards” like the majority of the nation’s participating states. Unlike those states that issue “medical marijuana cards’ ‘ that allow patients to visit the dispensary and pick their medical marijuana products usually with a maximum allotment per month; Texas requires that the patient be prescribed the amount and potency of the medical marijuana by their physician; it is also a requirement for the physician to enter this information as well as the patients’ information into a statewide database called CURT (Compassionate Use Registry of Texas) which will help document patients prescriptions. Once the patient visits the dispensary, the medical marijuana is handled/dispensed as if it were a pharmaceutical medication. Due to the differences in prescribing and requirements that Texas possesses in comparison to other states; Texas currently holds medical marijuana reciprocity in any other state at this time; however, we are monitoring this closely and will update as legislation evolves.

Medical Marijuana Reciprocity Rules & Regulations by State

Arkansas

Visiting patient card required?     Yes
Visiting patient application fee:   $50
Visiting patient card duration:      30 days from issue date
Government Website:                       https://healthy.arkansas.gov/programs-services/topics/medical-marijuana 

Arkansas allows qualified visiting patients to use the state’s medical cannabis program. Eligible visiting patients must possess a Missouri medical marijuana card or its equivalent issued by their home state and have a qualifying condition that has been approved in Arkansas in order to legally possess medical marijuana and purchase cannabis products from an Arkansas dispensary. Visiting patients must fill out the visiting patient application and pay a non-refundable $50.00 fee. Visiting patients should also be prepared to provide a valid and current state-issued identification such as a Missouri driver’s license. It is essential that patients who intend to travel to Arkansas plan ahead, as the processing of obtaining a visiting patient card may take up to two weeks. Once issued, the card is valid for 30 days.

Once their application has been approved, visiting patients can obtain cannabis in the state’s dispensaries if they show their AR registry card or its equivalent from their home state. The dispensary will retain a copy of the card as well as a second form of ID, such as a driver’s license, and will require visiting patients to sign a form affirming that they have been diagnosed by a healthcare provider to have a qualifying condition. Visiting patients should be aware that Arkansas law prohibits the smoking of cannabis in any public place.

Hawaii

Visiting patient card required?     Yes
Visiting patient application fee:   $49.50
Visiting patient card duration:      60 days from issue date (2 term-limit)
Government Website:                       https://health.hawaii.gov/medicalcannabis/ 

Hawaii provides an online application process for out-of-state patients who possess a Missouri medical marijuana card (similar out-of-state equivalent) to apply for a Hawaii 329 Registration Card, which grants access to medical cannabis dispensaries. A visiting out-of-state patient who wishes to obtain a 329 card must submit his or her valid, unexpired Missouri medical marijuana card (or similar out-of-state card) and an additional form of state-government-issued ID from the same state (e.g. a MO driver’s license), and bearing the same name as the Missouri medical cannabis card or out-of-state equivalent. Unlike some other states, Hawaii will not accept a Missouri medical marijuana card certification/recommendation form in lieu of a state-issued Missouri medical cannabis card. Visiting patients may apply for a 329 card up to 60 days before the requested start date. Note that passports and military ID cards are not accepted forms of ID for the purposes of obtaining a 329 card. 

The Hawaii Dept. of Health has put together an instructional video and a checklist for visiting patients and urges visiting patients to ensure that the island they are traveling to has a dispensary with the products they need prior to submitting an application, as traveling between islands could involve crossing a federal waterway.  Visiting patients should also be aware that Hawaii law prohibits the smoking of cannabis in any public place.

Mississippi

Visiting patient card required?     Yes – program in development
Visiting patient application fee:   Unknown
Visiting patient card duration:      Unknown
Government Website:                       https://msdh.ms.gov/msdhsite/_static/30,0,425.html 

Although Mississippi does not yet have a dedicated reciprocity program, Mississippi voters overwhelmingly approved medical marijuana access through constitutional amendment Initiative 65 in November 2020. Section 5 of the initiative indicates that the Mississippi State Department of Health will organize specific rules for the operation of the program, to include provisions permitting out-of-state patients to secure access in the state. However Missouri medical marijuana patients visiting Mississippi will need to be patient, as the department has until August 2021 to begin licensing medical cannabis businesses and certifying eligible patients. Until then, visiting patients should take caution and adhere to all state laws pertaining to cannabis possession, use and sale, which is currently prohibited. Visiting patients are still encouraged to travel with their medical cannabis ID cards (or their equivalents) in case of any potential interaction with law enforcement.

Missouri

Visiting patient card required?     No
Government Website:                       https://health.mo.gov/safety/medical-marijuana/patient-services.php 

Missouri provides explicit language under Amendment 2 Sec. 5 authorizing visiting patients with a valid and current medical cannabis program card issued by their home state to possess and use cannabis when visiting the Show-Me State. However, out-of-state visiting patients meeting this criteria cannot purchase cannabis at a licensed Missouri medical cannabis retailer. As such, the state’s policy for visiting patients requires patients to violate federal law by transporting cannabis across state lines, which is still federally illegal even when patients are traveling between states that authorized cannabis possession, use and sale. Visiting patients are also advised that Missouri prohibits consumption of cannabis in any public place.

New Hampshire

Visiting patient card required?     No
Government Website:                       https://www.dhhs.nh.gov/oos/tcp/ 

Patients visiting New Hampshire from Missouri or another state with legal medical marijuana may use & possess medical cannabis but are as yet unable to purchase it in the state’s dispensaries. To benefit from New Hampshire’s medical cannabis law, the visiting qualifying patient must provide a current Missouri medical marijuana card (or its equivalent from their home state) and a statement from their healthcare provider stating that the patient has a qualifying condition that is recognized by New Hampshire law. The visiting patient provisions only apply to those who are not residents or to residents who have been in the state for fewer than 30 days. New Hampshire prohibits consumption of cannabis in any public place.

New Mexico

Visiting patient card required?     No
Government Website:                       https://www.nmhealth.org/about/mcp/svcs/ 

In mid-2020, New Mexico initiated a widespread reciprocity program. It allows Missouri medical marijuana card carriers (or any state with an active medical cannabis program) to legally purchase cannabis products from New Mexico medical marijuana dispensaries. Missouri medical marijuana card carriers are allowed to buy marijuana for conditions other than what qualifies residents in New Mexico. If it qualifies in your state and you have proof of certification, you can take advantage of the NM medical marijuana  program.

Visiting patients will need an active Missouri medical marijuana card (or similar out-of-state equivalent) in order to use, possess, and purchase medical cannabis products from a licensed cannabis retailer. Visiting Missouri medical marijuana patients may possess up to 8 ounces in 90 days, and will also need to provide a state-issued photo ID (such as a MO driver’s license) when purchasing from a medical cannabis dispensary. Visiting patients are advised that New Mexico prohibits consumption of cannabis in any public place.

Oklahoma

Visiting patient card required?     Yes
Visiting patient application fee:   $100
Visiting patient card duration:      30 days from issue date (renewable)
Government Website:                       https://oklahoma.gov/omma.html 

Oklahoma offers temporary medical marijuana licenses for both minor and adult visiting patients, which allows visiting patients to use, possess, and purchase medical cannabis products from licensed retailers in Oklahoma.  To obtain a temporary Oklahoma medical marijuana card, a visiting patient must submit a digital color copy of their valid Missouri medical marijuana card (or similar out-of-state cannabis card equivalent) and a digital color copy of a valid state-issued photo ID (such as a MO driver’s license) or US passport. The visiting patient also must submit a passport-style photograph and pay a non-refundable $100 application fee by credit or debit card. The processing of a temporary patient license application can take up to 14 days, so it is important for travelers to plan ahead. The possession limit for visiting patients is 3 ounces of marijuana flower, one ounce of concentrate, or 72 ounces of edibles. Oklahoma law prohibits consumption of cannabis in any public place. 

Pennsylvania

Visiting patient card required?     Yes – program in development
Visiting patient application fee:   Unknown
Visiting patient card duration:      Unknown
Government Website:                       https://www.pa.gov/guides/pennsylvania-medical-marijuana-program/ 

Although medical marijuana is legal in Pennsylvania, at this time Pennsylvania does not have an operational medical marijuana reciprocity program in place. However, the Pennsylvania Department of Health has begun the process of implementation for out-of-state medical marijuana card reciprocity. Out-of-state patients visiting PA are encouraged to carry their Missouri medical marijuana card (or similar out-of-state cannabis card equivalent) when traveling. Stay tuned for further development in Pennsylvania medical marijuana card reciprocity information!

Rhode Island

Visiting patient card required?     No
Government Website:                       https://health.ri.gov/healthcare/medicalmarijuana/ 

Missouri medical cannabis cards (or similar out-of-state equivalents) have the same force and effect as medical cannabis cards issued by the Rhode Island Department of Health. Therefore, visiting Missouri medical marijuana patients or visiting patients from elsewhere in the United States may access Rhode Island’s compassion centers (dispensaries) with their Missouri medical cannabis cards and another form of state-issued photo ID (such as a MO driver’s license.) Out-of-state patients will be required to complete a compassion center intake form to be entered into the compassion center’s tracking system, however the state does not require a fee to participate in the program.

Utah

Visiting patient card required?     No
Government Website:                        https://medicalcannabis.utah.gov/ 

Although registered Missouri medical marijuana card carriers and other out-of-state visitors cannot purchase medical cannabis from a Utah dispensary, a Missouri medical cannabis cardholder may still legally possess and use medical cannabis in Utah as long as the patient has one of Utah’s qualifying conditions, and possesses medical cannabis in accordance with Utah’s  legal medicinal dosage form and amount.

A new resident with an out-of-state card has the same regulations as a visiting cardholder for 45 days. After 45 days, the out-of-state card is no longer valid in Utah and the patient must apply for a Utah medical cannabis patient card with a recommendation from a Utah qualified medical provider.

 

 

Useful Resources For Further Information: