Which states are next for medical cannabis?
As of March 2025, 38 states and the District of Columbia have a medical cannabis program. Five states have no medical cannabis law: Idaho, Kansas, South Carolina, Wisconsin, and Wyoming. Nebraska voters approved a medical cannabis measure in November 2024. The program is not yet operating.
what states have legalized cannabis in 2024
States with no medical cannabis law
- Idaho: No medical cannabis. Possession of any amount is a misdemeanor. A 2024 ballot initiative failed to gather enough signatures.
- Kansas: No medical cannabis. The legislature has debated bills since 2019. A 2024 bill passed the Senate but not the House.
- South Carolina: No medical cannabis. The Senate passed a bill in 2024. The House did not vote. A 2025 bill is pending.
- Wisconsin: No medical cannabis. The Assembly passed a limited bill in 2023. The Senate did not take it up. Governor Tony Evers proposed legalization in his 2025 budget.
- Wyoming: No medical cannabis. A 2024 ballot initiative failed. The legislature has not passed a bill.
Nebraska: passed but not operating
Nebraska voters approved medical cannabis with 71% support in November 2024. The law allows patients with qualifying conditions to possess up to 5 ounces. The program must launch by October 2025. A lawsuit challenges the measure. The state has not issued patient cards.
Federal Legalization Impact on States: What Changes and What Stays Local
States with limited programs
Some states have limited programs. Texas allows low-THC cannabis oil for epilepsy. Georgia allows low-THC oil. Indiana allows CBD oil with up to 0.3% THC for epilepsy. These are not full medical programs. They do not allow flower or high-THC products.
States with Cannabis on the Ballot
What drives the next states?
Ballot initiatives and legislative action. In 2024, Nebraska passed a ballot measure. In 2025, Kansas and South Carolina have active bills. Wisconsin's governor supports legalization. Wyoming's legislature has not advanced a bill. Idaho has no active bill. Public support is above 60% in most states.
States That Have Legalized Cannabis in 2024
What to watch in 2025-2026
Kansas: Senate Bill 75 would create a medical program. South Carolina: House Bill 3021 would allow oils and tinctures. Wisconsin: Assembly Bill 106 would create a limited program. Nebraska: implementation depends on the lawsuit. Wyoming: a new ballot initiative may start in 2025.
Key numbers
- 38 states with medical cannabis
- 24 states with recreational cannabis
- 5 states with no medical program
- 71% Nebraska vote for medical cannabis
- 5 ounces Nebraska possession limit
- October 2025 Nebraska program deadline
What this means for patients
Patients in states without a program can travel to a legal state. But federal law prohibits crossing state lines with cannabis. Patients should check local laws. Telehealth is available in some states. Eden Cannabis serves customers in states with legal programs.