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North Dakota


The Division of Medical Marijuana is responsible for the regulation of cannabis. To be eligible for the state’s medical marijuana program, patients must have a recommendation from a licensed healthcare provider and apply for a Medical Marijuana Registry Identification card through the North Dakota Department of Health.

It is important to note that North Dakota has a relatively limited medical marijuana program compared to other states. Smoking marijuana is not permitted, and patients are restricted to using oils, capsules, tinctures, or topical preparations. Moreover, patients can only purchase a maximum of 2.5 ounces of marijuana every 30 days, and medical insurance does not cover medical marijuana programs or other marijuana-related medical expenses.

Although North Dakota’s medical marijuana program has certain limitations, it has been a source of relief for many individuals in the state suffering from debilitating medical conditions. The North Dakota Department of Health reports that as of March 2023, over 4,500 residents are registered as medical marijuana patients. Furthermore, since its inception, the program has generated more than $30 million in revenue, which the state has utilized to support medical research and other public health initiatives. Despite the program’s limitations, it has demonstrated the potential to provide much-needed relief to North Dakotans and has generated significant revenue for the state.

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North Dakota has a limited history with cannabis legalization. In 2016, a ballot initiative to legalize medical cannabis was approved by voters with over 64% of the vote. However, implementation of the program was delayed by regulatory challenges, and medical cannabis sales did not begin until March 2019.

In 2018, another ballot initiative was proposed to legalize recreational cannabis, but it was ultimately defeated with only 40% of the vote in favor. Despite this setback, advocates continue to push for cannabis legalization in the state.

North Dakota’s cannabis policy has been shaped by its conservative political climate and rural character. The state has relatively strict drug laws, and the possession of even small amounts of cannabis can lead to a criminal record and potential jail time. However, some lawmakers and advocates have expressed support for cannabis legalization as a way to create new jobs and generate tax revenue for the state.

Overall, North Dakota remains relatively conservative in its approach to cannabis legalization, with only limited medical cannabis legalization currently in place. While there have been efforts to legalize recreational cannabis, these have not yet been successful, and it remains to be seen whether the state will move towards broader legalization and regulation of cannabis in the future.

LAST UPDATED 5/10/2023 – It’s important to remember that laws can be revised and updated frequently, so please keep this in mind.