As of mid-2025, 42 states and the District of Columbia have legalized medical cannabis, while 24 of those states have also approved recreational or adult-use cannabis. Because every state with a recreational cannabis market also maintains a medical program, a total of 24 states and the District of Columbia currently regulate both medical and recreational cannabis markets in parallel. While counted here, some medical markets severely limit access to full-potency cannabis.
Updated: June 2025
There are 42 U.S. states with medical markets. Some markets are limited and only allow CBD and/or low levels of THC.
There are 24 U.S. states with recreational and medical markets.
There are 18 U.S. states with medical markets only.
State | Market type | Recreational legalized | Medical legalized |
---|---|---|---|
Alabama | Medical | - | 2021 |
Alaska | Recreational/Medical | 2014 | 1998 |
Arizona | Recreational/Medical | 2020 | 2010 |
Arkansas | Medical | - | 2016 |
California | Recreational/Medical | 2016 | 1996 |
Colorado | Recreational/Medical | 2012 | 2000 |
Connecticut | Recreational/Medical | 2021 | 2012 |
Delaware | Recreational/Medical | 2023 | 2011 |
Florida | Medical | - | 2016 |
Georgia | Medical | - | 2015 |
Hawaii | Medical | - | 2000 |
Idaho | None | - | - |
Illinois | Recreational/Medical | 2019 | 2013 |
Indiana | None | - | - |
Iowa | Medical | - | 2017 |
Kansas | None | - | - |
Kentucky | Medical | - | 2023 |
Louisiana | Medical | - | 2015 |
Maine | Recreational/Medical | 2016 | 1999 |
Maryland | Recreational/Medical | 2022 | 2013 |
Massachusetts | Recreational/Medical | 2016 | 2012 |
Michigan | Recreational/Medical | 2018 | 2008 |
Minnesota | Recreational/Medical | 2023 | 2014 |
Mississippi | Medical | - | 2020 |
Missouri | Recreational/Medical | 2022 | 2018 |
Montana | Recreational/Medical | 2020 | 2004 |
Nebraska | Medical | - | 2024 |
Nevada | Recreational/Medical | 2016 | 1998 |
New Hampshire | Medical | - | 2013 |
New Jersey | Recreational/Medical | 2020 | 2010 |
New Mexico | Recreational/Medical | 2021 | 2007 |
New York | Recreational/Medical | 2021 | 2014 |
North Carolina | None | - | - |
North Dakota | Medical | - | 2016 |
Ohio | Recreational/Medical | 2023 | 2016 |
Oklahoma | Medical | - | 2018 |
Oregon | Recreational/Medical | 2014 | 1998 |
Pennsylvania | Medical | - | 2016 |
Rhode Island | Recreational/Medical | 2022 | 2006 |
South Carolina | None | - | - |
South Dakota | Medical | - | 2020 |
Tennessee | None | - | - |
Texas | Medical | - | - |
Utah | Medical | - | 2018 |
Vermont | Recreational/Medical | 2020 | 2004 |
Virginia | Recreational/Medical | 2021 | 2020 |
Washington | Recreational/Medical | 2012 | 1998 |
West Virginia | Medical | - | 2017 |
Wisconsin | None | - | - |
Wyoming | None | - | - |