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 | - | - |