Get your medical marijuana card in Massachusetts

According to the Massachusetts Cannabis Control Commission, patients may possess a 60-day supply of marijuana or up to 10 ounces of medical marijuana. However, the law does allow for exceptions. With the permission from a Certifying Health Care Provider, patients can purchase larger amounts as long as it’s medically necessary.

When in possession of marijuana, medical cannabis cardholders are expected to carry their program ID cards along with a valid government-issued ID. Possessing cannabis without an MMJ card by individuals under age 21 may have legal consequences in Massachusetts.

Possessing cannabis in public is allowed for medical marijuana patients, but it must be placed in a closed container and cannot be consumed in public.

Patients are not allowed to sell or distribute their medical cannabis, as this is only reserved for treatment. Patients and caregivers must remain up to date with the purchase and possession limits in Massachusetts. Holding your medical marijuana card can help to avoid noncompliance with the law.

Personal Cultivation:

According to Title 935 of the Code of Massachusetts Regulation (CMR), medical marijuana patients are permitted to cultivate cannabis at home. Specifically, they can grow up to 12 flowering and 12 vegetative cannabis plants. Additionally, under Title 935, Section 501.027, patients can obtain a hardship cultivation registration from the Cannabis Control Commission. This registration allows them to maintain a 60-day supply of cannabis, which is defined as up to 10 ounces of usable marijuana. Recreational marijuana users, on the other hand, can only cultivate up to 6 marijuana plants.

When growing marijuana plants at home, patients must lock the cultivation areas to prevent unauthorized persons from accessing it. The cultivation areas cannot be seen from streets and other public spaces. A patient’s caregiver can cultivate cannabis for the patient, but if the caregiver is a personal care attendant, visiting nurse or home health aide, they cannot.

The hardship cultivation registration is reserved for:

• Patients in financial hardship who are recipients of the supplemental security income or Mass Health or those with an income of less than 300% the federal poverty level.
• Patients who cannot access medical marijuana treatment centers or dispensaries due to distance or lack of transportation.

Commercial Cultivation:

The Massachusetts Cannabis Control Commission offers cultivator licenses to businesses that will grow, process and package cannabis to marijuana establishments. A craft marijuana cooperative’s canopy can only be up to 100,000 square feet. There are eleven tiers of operating space, and the selected tier affects the licensing fees and application. The application and annual license fees also differ for indoor and outdoor cultivation. The application fees go from $100 to $2,000, while the annual license fee is as high as $50,000.

These eleven tiers include:

• Tier 1: up to 5,000 square feet
• Tier 2: 5,001 to 10,000 sq. ft.
• Tier 3: 10,001 to 20,000 sq. ft.
• Tier 4: 20,001 to 30,000 sq. ft.
• Tier 5: 30,001 to 40,000 sq. ft.
• Tier 6: 40,001 to 50,000 sq. ft.
• Tier 7: 50,001 to 60,000 sq. ft.
• Tier 8: 60,001 to 70,000 sq. ft.
• Tier 9: 70,001 to 80,00 sq. ft.
• Tier 10: 80,001 to 90,000 sq. ft.
• Tier 11: 90,001 to 100,000 sq. ft.

In Massachusetts, a medical marijuana patient and their official caregiver are allowed to purchase, possess, and cultivate the state-allowed-amount of medical cannabis. Caregivers assist registered patients in administering cannabis products. 

Under the Massachusetts medical marijuana program, there are two types of caregivers. 

• Personal caregiver: This individual helps registered patients administer and cultivate marijuana products at home for medical use. The caregiver must be 21 years or older and are allowed to manage up to five patients at once. It can be the parent, guardian, family member or friend of the patient. If a Personal Caregiver wants to serve more than five patients, they must obtain a waiver under 935 CMR 501.850. Exceptions include employees of healthcare facilities, visiting nurses, home health aides, personal care attendants, and immediate family members.
• Institutional caregiver: Medical marijuana patients can also choose institutional caregivers, who are employees of long-term care facilities, hospitals or hospices. They provide care to registered patients within the institution and are not allowed to cultivate plants on behalf of their patients.

Caregivers must be registered with the Massachusetts Cannabis Control Commission and obtain caregiver cards. Patients can choose their caregivers by themselves and can have up to two caregivers at once. Medical marijuana patients under 18 require caregivers but it is optional for adult patients.

To become a caregiver, an individual must register online through the Patient and Caregiver portal. But, the patient must have designated that person as their caregiver during their registration. After this, the patient will give the caregiver a four-digit PIN, which they can use to complete their registration.

Caregivers must not have been convicted of a drug crime and don’t have to pay any fee to register for an MMJ card. Designated caregivers cannot sell or consume the cannabis that they purchased for their patients.

The main job of a medical marijuana caregiver is to make sure the patient is using cannabis safely and in accordance with the law. As a caregiver, you should remain updated with the relevant laws in Massachusetts and comply with them. Avoid sharing details of your patient’s medical history to maintain confidentiality and keep all the documents up to date.

In Massachusetts, veterans can consider applying for a medical marijuana card if they will benefit from medical marijuana treatment due to physical and mental health conditions. Veterans can apply for and use cannabis treatment like any other patient.

• Veterans can apply for a medical marijuana card if they have one of the qualifying medical conditions. The application process is the same as any other patient.
• Veterans with an existing VA (Veterans Affairs) medical provider can qualify for the discounts. This will happen after the 2024 US House bill is enacted into law.
• Under federal law, marijuana is classified as a Schedule One controlled substance. This is the same stance as the Department of Veterans Affairs. Veterans that use marijuana are still entitled to VA benefits but cannot use it on VA grounds.
• Medical marijuana cardholders cannot own firearms under federal law, and Section 10H of the Massachusetts General Laws prohibits individuals from holding firearms under the influence of marijuana.

At Dr. Weedy, we are proud to support veterans that require medical marijuana treatment. We are dedicated to providing exclusive discounts to veterans who need medical marijuana certification, giving them the chance to receive affordable care. Learn more about our veteran’s discount program here.

A reciprocity program occurs when a state allows individuals from other states to buy medical cannabis products with their marijuana card. Massachusetts does not recognize marijuana cards from other states but visitors over 21 with a government-issued ID card can purchase and possess up to 1 ounce of recreational cannabis. It is important to note that out-of-state visitors must consume their purchase within Massachusetts, as transporting marijuana across state lines is illegal, regardless of the mode of transportation. Additionally, mailing any cannabis-based products, including edibles, is prohibited, even to locations where marijuana is legalized. If staying at a hotel or rental accommodation, it is advisable to check their policies regarding marijuana use before consuming.

MA marijuana card holders can use their cards in a few states that have medical cannabis reciprocity.

• New Hampshire (only possession)
• Vermont
• Arizona
• Utah
• Arkansas
• Rhode Island
• California
• Oklahoma
• Maine
• New Mexico
• Missouri
• New Jersey
• Montana
• Nevada

Patients in Massachusetts might be wondering whether they qualify to apply for a medical marijuana card for PTSD, ADHD and chronic pain. While Massachusetts does not explicitly mention these conditions on its list of qualifying criteria, patients can obtain a medical marijuana prescription if the doctor identifies these conditions as debilitating. 

• PTSD: Post-Traumatic Stress Disorder is a mental disorder that happens when a patient experiences or witnesses a traumatic event which makes them unable to recover. Patients diagnosed with PTSD display symptoms such as anxiety, hyperarousal and nightmares. Consult with a qualified physician in Massachusetts to determine whether you qualify for medical marijuana treatment. 

• Chronic Pain: Chronic or intractable pain that is not subdued with conventional medical treatment or is a result of a debilitating condition qualifies for medical cannabis treatment in Massachusetts. Cannabis treatment is ideal for reducing inflammation and pain. If you have been diagnosed with this pain, consult a registered physician to determine whether you can receive an MMJ card.
• ADHD: ADHD is another medical condition that might qualify you for medical marijuana treatment in Massachusetts based on your physician’s prescription and recommendation. Your physician must ensure that the use of medical marijuana will not worsen your disability.

Unlike other states, medical marijuana consumers in Massachusetts are not protected against workplace discrimination. There is no law that states employers in Massachusetts must accommodate medical marijuana employees except the employee qualifies as disabled due to their medical conditions. In such cases, employees who use medical marijuana to treat a disability are entitled to reasonable accommodation under the state disability discrimination law. However, employers are not required to accommodate on-site use of medical marijuana at the workplace.

That means there’s no broad employment protection for medical marijuana patients.

Employers in Massachusetts can decide not to hire marijuana users and there would be no legal consequence, as long as they follow federal regulations. Furthermore, marijuana remains illegal under federal laws so MMJ users cannot become federal employees.

When employers carry out background checks in Massachusetts, medical marijuana cards don’t show up in the checks. But if the employer uses drug tests to check on their employees, those who fail may be fired or won’t be hired.

To apply for a medical marijuana card in Massachusetts, you will need several documents:

First, you must provide valid photo identification, which can be a Massachusetts Driver’s License, Massachusetts ID Card, U.S. Passport, or U.S. Military ID. If you are using a U.S. Passport or U.S. Military ID, you must also submit a document that proves your Massachusetts residency. Acceptable forms of proof of residency include a utility bill (less than 60 days old), a current Massachusetts motor vehicle registration card, a tuition bill (due within the last 6 months), a U.S. marriage certificate (dated within the past 6 months), a property tax or excise tax bill, first-class mail from a federal or state agency (less than 60 days old), a car insurance policy or bill (less than 60 days old), a current Massachusetts-issued professional license, or a mortgage, lease, or loan document (dated within the past 6 months).

Additionally, you will need a written recommendation from a registered certifying physician. If you are applying through a caregiver, they will need the same documents along with the PIN provided by the patient.

You will also need a current photograph of yourself if registering online. You may be able to use your Massachusetts RMV photo during the upload photo step. Please reference the photograph instructions here: https://www.mass.gov/doc/patient-guidance-for-mmj-registration-2/download.

Ensure that your identification is current and not expired. If there are any changes to your ID, you must update the program accordingly.

According to Chapter 369 of the Massachusetts General Laws, medical marijuana can only be prescribed by qualified health providers. The health providers must provide written certifications for the treatment and can only do so when the patient’s benefits from medical marijuana treatment is more than the possible risks. Healthcare providers must register with the Massachusetts medical program according to Title 935 of the Code of Massachusetts Regulations before they can certify patients for medical marijuana. The healthcare providers include Doctors of Medicine, Doctors of Osteopathic Medicine, Certified nurse practitioners and Physician assistants. For minors, one of the healthcare providers must be a pediatrician, pediatric specialist, oncologist, neurologist and family physician.

To apply for a medical marijuana card in Massachusetts, you need to obtain a written certification from a healthcare provider. Dr. Weedy offers an evaluation for this certification at a cost of $119, with a guaranteed refund in case of denial. Once you have your certification, you can apply for a medical marijuana card at no cost. The only extra cost is $10 for replacing a misplaced or stolen Program ID card. If the fee causes a Verified Financial Hardship, the Qualifying Patient can request a fee waiver through a process established by the Commission.

To verify your residency, you can upload one of the following documents:

• Utility bill (dated within the last 60 days)
• Current Massachusetts motor vehicle registration
• Tuition bill (due within the last 6 months)
• U.S. marriage certificate (dated within the last 6 months)
• Property tax or excise tax bill
• First-class mail from a federal or state agency (dated within the last 60 days)
• Car insurance policy or bill (dated within the last 60 days)
• Current Massachusetts-issued professional license
• Mortgage, lease, or loan document (dated within the last 6 months)

Make sure the document size is under 3 MB to successfully upload.

When buying medical cannabis, there are no taxes on marijuana purchases. Sales are exempt from taxes so the patients pay the exact cost of cannabis products. Meanwhile, recreational users pay an additional 10.75% excise tax and a 6.25% sales tax. A particular city or town can also impose a 3% local tax on marijuana sales.