Medical cannabis in the United States
In the United States, the use of cannabis for medical purposes is legal in 41 states, four out of five permanently inhabited U.S. territories, and the District of Columbia, as of July 2025. Ten other states have more restrictive laws limiting THC content, for the purpose of allowing access to products that are rich in cannabidiol (CBD), a non-psychoactive component of cannabis. There is significant variation in medical cannabis laws from state to state, including how it is produced and distributed, how it can be consumed, and what medical conditions it can be used for. The first state to effectively legalize medical cannabis was California in 1996, when voters approved Proposition 215 by a 56–44 margin. Several states followed with successful ballot initiatives in 1998, and in 2000 Hawaii became the first to legalize through an act of state legislature. Legalization of medical cannabis had spread to a majority of states by 2016. State-regulated medical cannabis was moved to Schedule...
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