Traveling as a medical marijuana patient often raises the question, which states allow out of state medical cards?
With the ongoing expansion of medical cannabis programs across the United States, it’s crucial to know where your medical marijuana card will be accepted outside your home state.
However, the answer isn’t as simple as a yes or no, each state has its own rules, and federal law still plays a significant role in limiting access.
As of 2025, while 41 states and Washington D.C. have legalized medical cannabis, only some offer reciprocity for out-of-state patients.
Even if you hold a valid cannabis card, the rules vary depending on where you’re traveling. We will help you navigate these differences, from states that offer full reciprocity to those that require temporary cards or provide access through the recreational market. So keep scrolling!
What States Allow Out-of-State Medical Cards in 2025?
States with Full Reciprocity (Purchase and Possession Allowed)
Some states accept out-of-state medical marijuana cards with little to no restrictions, allowing you to purchase cannabis at dispensaries and possess it for personal use. These states often have full reciprocity, with no major conditions. Here are some states where full reciprocity applies:
- Nevada: Nevada fully accepts out-of-state medical marijuana cards, allowing you to purchase up to 2.5 ounces every two weeks. Recreational cannabis is also legal here, offering an alternative option for patients.
- Maine: Maine accepts out-of-state patients as long as the patient’s condition qualifies under Maine’s program, with no additional requirements for medical cards. Recreational cannabis is also available here.
- New Jersey: New Jersey allows out-of-state medical cards for visitors, permitting up to 6 ounces of flower and 17 grams of concentrates. Patients can also access the recreational market.
- Michigan: Dispensaries in Michigan may choose to accept out-of-state cards. Reciprocity exists with some states, but it’s up to individual dispensaries to decide whether to accept them.
- New Mexico: New Mexico recognizes out-of-state medical marijuana ID cards (not just recommendations), and recreational cannabis is also legal. Patients can access both medical and recreational dispensaries.
States with Limited Reciprocity (Conditional Access)
Other states offer conditional or limited reciprocity, meaning they accept medical marijuana cards from out-of-state patients but impose certain restrictions or conditions. These include:
- Delaware: Accepts out-of-state medical marijuana cards from states with similar certification requirements. Patients must show their state-issued registry ID or equivalent.
- Louisiana: Allows out-of-state medical marijuana patients to purchase cannabis with a valid state-issued registry card.
- Arizona: Arizona accepts out-of-state medical marijuana patients to purchase cannabis, as long as they have a qualifying medical condition listed in the state’s program. You can purchase up to 2.5 ounces every two weeks.
- Arkansas: Arkansas allows out-of-state patients to purchase medical cannabis by paying a $50 application fee. Visiting patients can purchase up to 2.5 ounces every 14 days.
- New Hampshire: Out-of-state patients must have qualifying conditions listed in New Hampshire’s program to access cannabis.
- Rhode Island: Accepts out-of-state medical marijuana cards, as long as the patient has a debilitating condition. Patients must also have a state-issued registry ID.
States that Require a Temporary Medical Card or Registration
Some states do not recognize out-of-state medical marijuana cards but allow visitors to apply for a temporary medical marijuana card. This usually requires a fee and a limited duration for access. Examples include:
- Arkansas: Arkansas offers a temporary card valid for 90 days with a $50 fee.
- Hawaii: Visitors can apply for temporary cards with an expedited process available for severe conditions.
- Mississippi: Mississippi is planning to offer 15-day temporary cards, with the possibility of renewal. Regulations are still pending for this program.
- Oklahoma: Oklahoma requires a temporary patient application, and a doctor’s recommendation alone is insufficient for out-of-state patients.
- South Dakota: Allows visitors to enroll in a visiting patient program for $75 annually.
States Where Recreational (Adult-Use) Access is an Option
Some states allow medical marijuana cardholders to buy from recreational dispensaries, although they may not be able to access medical-only dispensaries. These states offer access through the adult-use market:
- California: Although California does not offer reciprocity for out-of-state medical cards, recreational cannabis is legal for adults 21 and over. You can still purchase cannabis from recreational dispensaries.
- Colorado: Medical marijuana cardholders can access both medical dispensaries and recreational dispensaries if they’re over 21.
States with No Access for Out-of-State Medical Marijuana Patients
There are some states where no medical marijuana access is granted to out-of-state cardholders. Even if the state allows medical cannabis use for residents, out-of-state patients cannot purchase or possess cannabis. These include:
- Florida
- Texas
- South Carolina
- Georgia
In these states, even with a valid medical card, you’ll need to rely on the recreational market (if available) or find alternative legal pathways.
Can You Take Medical Marijuana Out of State?
No, it is illegal to transport medical marijuana across state lines, even between states with legal medical marijuana programs.
If you’re caught trying to cross state lines with cannabis, you can face serious legal consequences, including drug trafficking charges. It’s essential to leave your cannabis at home and check the laws of your destination state before traveling.
Can I Travel with Cannabis Products That Don’t Contain THC?
Yes, you can travel with CBD products that contain less than 0.3% THC. These products are legal across state lines under federal law. However, when flying, the TSA allows CBD products if they comply with the 3-ounce liquid rule. Always check the TSA’s guidelines for the latest information.
Planning Ahead: Essential Tips for Traveling Medical Marijuana Patients
- Research State Laws: Always check the most current cannabis laws in the state you’re visiting. Laws can change rapidly, so staying informed ensures you’re compliant.
- Consider a Temporary Card: If you’re heading to a state that requires a temporary medical marijuana card, apply well in advance to ensure you have it in time for your trip.
- Know Your Limits: Be aware of the state’s possession limits, which can vary from state to state.
How to Obtain a Medical Marijuana Card in a New State
If you’re relocating or spending an extended time in a new state, you may need to apply for a medical marijuana card for that state. The process usually involves consulting with a state-licensed doctor and submitting an application. Be sure to verify the specific requirements for the state you’re moving to.
MMTC is Here To Help
So, can you use your medical marijuana card in other states? The answer is yes, but it depends on the state’s reciprocity laws. With states continuously updating their medical marijuana laws, staying informed is essential for ensuring compliance. If you’re planning a trip to a state with medical marijuana reciprocity, make sure you understand the terms and conditions for out-of-state cardholders.
If you don’t have your MMJ card yet or are considering getting one, MMTC Ohio can help simplify the process. With a straightforward online application, you’ll be connected with certified cannabis physicians through a telehealth consultation. Once approved, you’ll be able to use your medical marijuana card in Ohio and other states with reciprocity.
Click below to get started and begin your journey to legal access to medical marijuana across multiple states.
