Missouri Cannabis Regulation Overview

Purpose

• Patients with qualifying medical conditions can freely discuss and use medical marijuana under physician supervision.
• Adults 21+ can access marijuana.
• The Department of Health and Senior Services ensures patient/adult access subject to restrictions.

Article XIV Implementation

Consumers

• 21+ can purchase/possess marijuana products.
• Can obtain cultivation authority.

Qualifying Patients

• 18+ or emancipated minors can get medical marijuana ID cards.
• Non-emancipated minors need parental/legal guardian consent.
• Can cultivate with exceptions.

Medical Marijuana Patient Identification Cards

• Validity: 3 years.
• Certification: Necessary by a physician/nurse for medical condition.
• Patient Responsibilities:
  • No smoking in public unless allowed by law.
  • Cannot be a primary caregiver if under another caregiver’s care.
  • Notify department if they no longer wish to hold an ID card.

Non-emancipated Qualifying Patients

• Require parent/guardian written consent for certifications and ID card.
• Parents/guardians must administer marijuana use.

Primary Caregivers

• 21+ can get an ID card to assist up to six patients.
• Can cultivate on behalf of patients.

Caregiver Responsibilities

• Serve up to six patients and ensure ethical marijuana access.

Purchase and Possession Limitations

Consumers

• Purchase up to 3 ounces per transaction.
• Possess up to 3 ounces unless cultivating; excess must be in a locked facility.

Qualifying Patients and Caregivers

• Default purchase: up to 6 ounces/month unless authorized for more.
• Can possess a 60–90 day supply.

Cultivation

• Authorization required for consumers, qualifying patients (not minors), and caregivers.
• Cultivation must occur in an enclosed, locked facility.

Cultivation Limits

• Consumers: Up to 12 plants (flowering and non-flowering combined) at a residence.
• Patients/Caregivers: Up to 12 plants; separate limits per patient.
• Labels and secure storage are mandatory.

Identification Cards

Application

• Electronic applications; unique ID numbers assigned.
• Qualifying Patient/Primary Caregiver:
  • Includes personal information, certifications, and consent where required.
  • Includes photos and government ID.

Renewal

• ID cards valid for 3 years; cultivation cards valid 1 year.
• Renewal requires updated applications and fees.

Penalties

• Revocation for false info, exceeding limits, or illegal activities.
• Sanctions include fines and card suspension.

Authority

• Based on sections of Article XIV of the Missouri Constitution.