Here are the rules for patients, caregivers, and consumers we are currently operating under in MO
(1) Consumers. Individuals twenty-one (21) years of age and
older may purchase and possess marijuana product in accordance with the rules set forth herein. Consumers may obtain
authority to cultivate as set forth below.
(2) Qualifying patients. Individuals eighteen (18) years of age or
older and emancipated individuals under the age of eighteen
(18) may obtain a medical marijuana patient identification card
to purchase and possess medical marijuana product in accordance with the rules set forth herein. Non-emancipated individuals under the age of eighteen (18) may obtain a medical
marijuana patient identification card with the written consent
of a custodial parent or legal guardian. Qualifying patients,
with the exception of non-emancipated minors, may also obtain authority to cultivate as set forth below.
(A) Medical marijuana patient identification cards are valid
for three (3) years.
(B) Physician or nurse practitioner certification.
All qualifying patients must have a physician or nurse
practitioner certification confirming the qualifying patient has
at least one qualifying medical condition.
A physician or nurse practitioner certification is required
for all new and renewal patient applications.
The physician or nurse practitioner certification must
be submitted within a new or renewal patient application, and
the signature date on the certification must be less than thirty
(30) days old on the application’s submission date.
(C) Qualifying patient responsibilities.
No qualifying patient shall smoke marijuana product for
medical use in a public place, unless provided by law.
No qualifying patient who is under the care of a primary
caregiver may serve as the primary caregiver for another
qualifying patient.
If a qualifying patient is no longer entitled to medical
marijuana product or no longer wishes to hold a medical
marijuana identification card, they must notify the department
within ten (10) days of that change. The department will
confirm in writing that the qualifying patient has voluntarily
surrendered the identification card and that the identification
card is no longer valid.
(D) Non-emancipated qualifying patients. Individuals under
the age of eighteen (18) may obtain a medical marijuana
patient identification card with the written consent of a
custodial parent or legal guardian.
A physician or nurse practitioner shall not issue a
certification for the medical use of marijuana product for
a non-emancipated qualifying patient without the written
consent of a parent or legal guardian of the qualifying patient.
The department shall not issue a qualifying patient
identification card on behalf of a non-emancipated qualifying
patient without the written consent of a parent or legal
guardian of the qualifying patient. Such card shall be issued to
the parent or guardian and not directly to the patient.
Only a parent or legal guardian may serve as a primary
caregiver for a non-emancipated qualifying patient.
Only the qualifying patient’s parent or legal guardian
who holds a primary caregiver identification card shall
purchase or possess medical marijuana product for a nonemancipated qualifying patient.
A parent or legal guardian who holds a primary
caregiver identification card shall supervise the administration
of medical marijuana product to a non-emancipated qualifying
patient.
(3) Primary caregivers. Individuals twenty-one (21) years of age
or older may obtain a primary caregiver identification card
which allows them to purchase and possess medical marijuana
product on behalf of up to six (6) qualifying patients. Primary
caregivers may also obtain authority to cultivate as set forth
below.
(A) Primary caregiver identification cards are valid for three
(3) years.
(B) Individuals seeking primary caregiver status for nonemancipated qualifying patients must be the parent or legal
guardian of the qualifying patient.
(C) Primary caregiver responsibilities.
No individual shall serve as the primary caregiver for
more than six (6) qualifying patients.
No individual shall serve as a primary caregiver for a
qualifying patient who is already served by two (2) primary
caregivers.
If a primary caregiver is no longer entitled to serve as
a primary caregiver or no longer wishes to hold a primary
caregiver identification card, they must notify the department
within ten (10) days of that change. The department will
confirm in writing that the primary caregiver has voluntarily
surrendered the identification card and that the identification
card is no longer valid.
Primary caregivers shall provide ethical, safe, and
secure access to medical marijuana product for the associated
patient by way of purchase, possession, administration, and
cultivation, if applicable.
(4) Purchase and possession limitations.
(A) Consumers.
Consumers may only purchase up to three (3) ounces of
dried, unprocessed marijuana product, or its equivalent, in a
single transaction.
Consumers may only possess—
A. In the case of consumers who do not cultivate, up to
three (3) ounces of dried, unprocessed marijuana product, or its
equivalent; or
B. In the case of consumers who are cultivating
marijuana, any supply of marijuana cultivated by the consumer
in excess of the consumer’s three (3) ounce limit must remain
in an enclosed, locked facility at a private residence.
(B) Qualifying patients and primary caregivers.
Absent a certification from a physician or nurse practitioner authorizing more, qualifying patients may only purchase, or have purchased on their behalf by their primary caregivers, up to six (6) ounces of dried, unprocessed marijuana,
or its equivalent, per qualifying patient, in a thirty- (30-) day
period.
The six (6) ounce purchase limit established in this
section shall not apply to a qualifying patient with a certification from a physician or nurse practitioner that there are
compelling reasons why the qualifying patient needs a greater
amount than the limit established in this section.
A. In such a case, the physician or nurse practitioner
must state in their certification what amount the qualifying
patient requires, which shall then be that patient’s limit.
B. If the patient’s amount is increased after they receive
a qualifying patient identification card, the patient must submit a request to the department to increase their purchase
limit within thirty (30) days of the physician’s or nurse practitioner’s signature date. The department shall, within thirty (30)
days, either approve or deny the request. The increase will not
be effective until the department approves the request.
Qualifying patients may only possess, or instruct a primary caregiver to possess on their behalf—
A. In the case of qualifying patients who do not cultivate
or have medical marijuana cultivated on their behalf, up to
a sixty- (60-) day supply of dried, unprocessed marijuana per
qualifying patient, or its equivalent; or
B. In the case of qualifying patients who are cultivating
marijuana for medical use or whose primary caregivers are
cultivating marijuana on their behalf, up to a ninety- (90-) day
supply of dried, unprocessed marijuana or its equivalent, so
long as the supply of medical marijuana product in excess of a
sixty- (60-) day supply remains in an enclosed, locked facility.
Primary caregivers may possess a separate legal limit
for each qualifying patient under their care and a separate
legal limit for themselves if they are a qualifying patient, each
of which shall be stored separately for each qualifying patient
and labeled with the qualifying patient’s name.
Possession of between the legal limit and up to twice
the legal limit shall subject the possessor to department
sanctions, including an administrative penalty of up to two
hundred dollars ($200) and loss of the possessor’s identification
card(s) for up to a year.
A patient is not permitted to exceed the possession or
purchase limitations in this section by combining purchases as
a patient and as a consumer.
(5) Consumer personal cultivation, qualifying patient
cultivation, and primary caregiver cultivation, generally.
(A) Except for good cause, any consumer, licensed qualifying
patient with the exception of non-emancipated qualifying
patients, or licensed primary caregiver on behalf of a
qualifying patient may obtain authorization to cultivate up
to six (6) flowering marijuana plants, six (6) non-flowering
marijuana plants fourteen (14) inches tall or more, and six (6)
non-flowering plants under fourteen (14) inches tall at any
given time in a single enclosed, locked facility, subject to the
limitations below.
(B) Non-emancipated qualifying patients are not eligible for
patient cultivation authorization, but a parent or legal guardian
who is the primary caregiver may obtain authorization to
cultivate on behalf of the non-emancipated qualifying patient.
(C) A qualifying patient may not be authorized for both
qualifying patient cultivation and consumer personal
cultivation at the same time.
(D) All consumer personal cultivation, qualifying patient cultivation, and primary caregiver cultivation shall take place in
an enclosed, locked facility, as defined in this chapter.
(E) Nothing in this section shall convey or establish a right to
cultivate marijuana in a location where state law or a private
contract would otherwise prohibit doing so.
(F) Consumer personal cultivation, qualifying patient cultivation, and primary caregiver cultivation shall not take place at
a place of business.
(G) The department shall provide each consumer,
qualifying patient, or primary caregiver who receives a
cultivation authorization with a cultivation authorization
identification card, which shall be clearly displayed within
the enclosed cultivation area and in close proximity to the
marijuana plants. The authorization shall list the name of the
consumer, qualifying patient, or primary caregiver who has
been authorized to cultivate, and the address at which that
individual is authorized to cultivate marijuana.
(H) Consumer personal cultivation.
All consumer personal cultivation must take place at a
private residence.
Up to two (2) consumers, who both hold valid consumer
personal cultivation identification cards, may grow marijuana
at the same private residence.
No more than twelve (12) flowering marijuana plants,
twelve (12) non-flowering plants fourteen (14) inches tall or
more, and twelve (12) non-flowering plants under fourteen (14)
inches tall may be cultivated by consumers at a single private
residence, regardless of the number of consumers who live at
that private residence.
Plants and marijuana produced by the plants in excess
of three (3) ounces must be kept at a private residence in an
enclosed, locked facility.
All cultivated flowering marijuana plants in the
possession of a consumer shall be clearly labeled with the
consumer’s name.
A consumer personal cultivation identification card shall
be valid for twelve (12) months from its date of issuance and
shall be renewable with the submittal of a renewal application.
(I) Qualifying patient cultivation.
Up to two (2) qualifying patients, who both hold valid
qualifying patient cultivation identification cards, may share
one (1) enclosed, locked facility.
No more than twelve (12) flowering marijuana plants,
twelve (12) non-flowering plants fourteen (14) inches tall or
more, and twelve (12) non-flowering plants under fourteen
(14) inches tall may be cultivated in a single enclosed, locked
facility.
Under no circumstance will a qualifying patient be
entitled to cultivate, or have cultivated on his or her behalf,
more than six (6) flowering marijuana plants.
Only one (1) individual in a patient-caregiver relationship
may be authorized for cultivation on behalf of the qualifying
patient.
All cultivated flowering marijuana plants in the
possession of a qualifying patient shall be clearly labeled with
the qualifying patient’s name.
A patient cultivation identification card shall be valid
as long as the qualifying patient’s identification card is still
valid, up to three (3) years from its date of issuance.
A. The cultivation application fee will be the same
for all cultivation applications no matter how much time
remains on the validity of the patient’s identification card.
B. The cultivation identification card shall be
renewable by submitting a renewal patient cultivation
application, as long as the individual has an approved
renewal patient application.
(J) Primary caregiver cultivation.
A primary caregiver may cultivate on behalf of more
than one (1) qualifying patient and may utilize one (1) or more
enclosed, locked facilities.
No primary caregiver cultivating marijuana for more
than one (1) qualifying patient may exceed a total of twenty-four (24) flowering plants, twenty-four (24) non-flowering
plants fourteen (14) inches tall or more, and twenty-four (24)
non-flowering plants under fourteen (14) inches tall.
Only one (1) individual in a patient-caregiver relationship may be authorized for cultivation on behalf of the qualifying patient.
All cultivated flowering marijuana plants in the possession of a primary caregiver shall be clearly labeled with the
qualifying patient’s name.
A primary caregiver cultivator who is also authorized
as a qualifying patient cultivator may grow the plants that belong to them as a qualifying patient cultivator, and the plants
grown on behalf of their qualifying patient(s) using the same
enclosed, locked facility.
A primary caregiver cultivator who is also authorized as
a consumer personal cultivator may not grow the plants that
belong to them as an authorized consumer personal cultivator
and the plants grown on behalf of their qualifying patient(s)
using the same enclosed, locked facility.
A caregiver cultivation identification card shall be valid
as long as the primary caregiver’s identification card is still
valid, up to three (3) years from its date of issuance.
A. The cultivation application fee will be the same for
all cultivation applications no matter how much time remains
on the validity of the primary caregiver’s identification card.
B. The cultivation identification card shall be renewable
by submitting a renewal caregiver cultivation application,
as long as the individual has an approved renewal caregiver
application.
(6) Identification cards.
(A) Application requirements.
The department will receive applications for qualifying
patient, primary caregiver, and cultivation authorization identification cards electronically through a department-provided,
web-based application system. In the event of application
system unavailability, the department will arrange to accept
applications in an alternative, department-provided format
and will notify the public of those arrangements through its
website.
A. Qualifying patients and primary caregivers shall
obtain identification cards from the department, which will
include unique, identifying numbers for each patient and each
caregiver.
B. A qualifying patient or their primary caregiver(s) who
wish to cultivate shall also obtain an identification card to
cultivate for the exclusive use of that qualifying patient, which
will include unique, identifying numbers for each authorized
cultivator.
C. Consumers who wish to cultivate marijuana shall
obtain identification cards from the department, which will
include unique, identifying numbers for each authorized cultivator.
Qualifying patient identification cards. All applications
for qualifying patient identification cards and renewal of such
identification cards shall include at least the following information:
A. The qualifying patient’s name, date of birth, and
Social Security number;
B. The qualifying patient’s residence address and mailing address or, if the qualifying patient has no residence or
mailing address, an address where the qualifying patient can
receive mail;
C. The qualifying patient’s email address;
D. A statement confirming that—
(I) One (1) physician or nurse practitioner certification,
which is less than thirty (30) days old, has been submitted on
behalf of the qualifying patient and is available for review
within the submitted application; and
(II) If applicable, there are compelling reason(s) why
the qualifying patient needs a greater amount than six (6)
ounces in a thirty- (30-) day period;
E. A legible copy of the qualifying patient’s photo identification card issued by a state or federal government entity;
F. A clear, color photo of the applicant’s face taken
within the prior three (3) months;
G. If the qualifying patient is an emancipated qualifying
patient under the age of eighteen (18), a certified emancipation
order from the issuing court;
H. If the qualifying patient is a non-emancipated qualifying patient—
(I) Written consent of a parent or legal guardian who
will serve as primary caregiver for the qualifying patient,
dated within the previous ninety (90) days; and
(II) An attestation that the individual signing the application is the qualifying patient’s parent or legal guardian
and—
(a) A copy of a birth certificate or adoption record
showing proof of relationship as qualifying patient’s parent; or
(b) A copy of documentation establishing legal
guardianship;
I. An attestation that the information provided in the
application is true and correct;
J. The signature of the qualifying patient and date the
qualifying patient signed, or, in the case of a non-emancipated
qualifying patient, the signature of the parent or legal guardian who completed the qualifying patient application and will
serve as primary caregiver for the qualifying patient; and
K. All applicable fees.
Primary caregiver identification cards. All applications
for primary caregiver identification cards and renewal of such
identification cards shall include at least the following information:
A. The primary caregiver’s name, date of birth, and
Social Security number;
B. The primary caregiver’s residence address and mailing address;
C. The primary caregiver’s email address;
D. The name and patient license number of the qualifying patient for whom the applicant seeks to serve as primary
caregiver;
E. A legible copy of the primary caregiver’s photo identification card issued by a state or federal government entity;
F. A clear, color photo of the applicant’s face taken
within the prior three (3) months;
G. Except in the case of a non-emancipated qualifying
patient, patient authorization signed by the qualifying patient
who the primary caregiver will serve and dated within the
previous ninety (90) days;
H. If the qualifying patient is a non-emancipated qualifying patient, written consent of the parent or legal guardian
who will serve as the qualifying patient’s primary caregiver,
dated within the previous ninety (90) days, and—
(I) A copy of a birth certificate or adoption record
showing the primary caregiver as the qualifying patient’s parent; or
(II) A copy of documentation establishing legal guardianship of the primary caregiver over the qualifying patient;
I. An attestation that the information provided in the
application is true and correct;
J. The signature of the primary caregiver and date the
primary caregiver signed; and
K. All applicable fees.
Cultivation cards. All applications for consumer personal cultivation identification cards, qualifying patient cultivation identification cards, and primary caregiver cultivation
identification cards and renewal of such cards shall include at
least the following information:
A. The applicant’s name, date of birth, and Social
Security number;
B. The applicant’s residence address and mailing address;
C. A statement that the applicant’s cultivation will take
place in Missouri;
D. The applicant’s email address;
E. A legible copy of the applicant’s photo identification
card issued by a state or federal government entity;
F. A clear, color photo of the applicant’s face taken
within the prior three (3) months;
G. The address of the location in which the applicant
will cultivate marijuana;
H. For consumer personal cultivation authorization,
attestation that the cultivation will be located at a private residence in a single enclosed, locked facility that permits access
to only the applicant;
I. For qualifying patient or primary caregiver cultivation
authorization, attestation that the cultivation will be located
in a single enclosed, locked facility that permits access to only
the qualifying patient and his or her licensed caregiver(s), as
applicable;
J. If the cultivation will be by or on behalf of a qualifying
patient—
(I) The qualifying patient’s name and patient license
number; and
(II) The primary caregiver’s name and license number,
if applicable;
K. If a qualifying patient seeks to share an enclosed,
locked facility, the name and patient license number of up
to one (1) other qualifying patient with whom the cultivation
space will be shared;
L. If a primary caregiver, requesting authorization to
cultivate on behalf of a qualifying patient, seeks to grow plants
for multiple patients in a single enclosed, locked facility, the
names and patient license numbers of up to five (5) other qualifying patients, plus their own name and qualifying patient
license number if the space is going to be used for their own
qualifying patient cultivation and cultivation on behalf of their
qualifying patient(s);
M. If a consumer seeks to grow marijuana at the same
private residence as one (1) other licensed consumer personal
cultivator, the name and license number of one (1) other licensed consumer personal cultivator who will be cultivating
at that private residence;
N. A statement affirming the applicant’s agreement to
immediately make available access to the cultivation space
upon request from the department. Such access will be only
for purposes of confirming compliance with this rule and will
be limited to the enclosed, locked facility and any areas necessary to reach and enter the facility on a path of the applicant’s
choosing;
O. An attestation that the information provided in the
application is true and correct;
P. The signature of the applicant and date the applicant
signed; and
Q. All applicable fees.
(B) Application processes.
The department shall charge a non-refundable fee for
marijuana identification card applications.
A. There will be a separate fee for each application to be
a qualifying patient, each application to be a primary caregiver
on behalf of a specific qualifying patient, and each application
to cultivate marijuana.
B. Requests for authority to cultivate medical marijuana
on behalf of a qualifying patient may be made following approval of a qualifying patient or primary caregiver identification card.
(I) A cultivation authorization will only remain valid
as long as the qualifying patient or primary caregiver’s identification card is still valid.
(II) The fee for an application to cultivate on behalf
of a qualifying patient will be the same for all applications no
matter how much time remains on the validity of the patient
or caregiver’s identification card at the time of the request for
cultivation authorization is submitted.
(III) The cultivation authorization must be renewed at
the time the patient or caregiver identification card is renewed.
C. Current fees, including any adjustments, will be
posted on the department’s website.
An application for an identification card will be considered received when the department receives a complete application. A complete application is an application that includes
all information required by this rule. The department will notify an applicant once if an application is incomplete and will
specify in that notification what information is missing.
Upon receiving a complete application for a qualifying
patient identification card, primary caregiver identification
card, or qualifying patient cultivation identification card, the
department shall, within thirty (30) days, either approve the
application or provide a written explanation for its denial.
A. In the case of qualifying patient and patient cultivation identification cards, if the department fails to deny or
fails to approve a complete application within thirty (30) days,
a card will be issued that will be valid for three (3) years and
will serve all the same functions as would a card issued after
application approval.
If the name or address of a consumer personal cultivator,
qualifying patient, or primary caregiver changes after an identification card is issued, the consumer, qualifying patient, or
primary caregiver shall notify the department within fourteen
(14) calendar days of the change.
Denial. Qualifying patient, primary caregiver, and cultivation identification cards may be denied.
A. If an applicant provides false or misleading information in an application, the card for which the applicant is
applying will be denied.
B. If an applicant fails to provide a complete application
within fourteen (14) calendar days of being notified that an
application is incomplete, the card for which the applicant is
applying will be denied.
(I) An applicant will be considered notified on the
date the department sends a written explanation of how the
application is incomplete to an email address provided by the
applicant.
C. If the department determines there is good cause to
do so, an application for an identification card may be denied.
D. If the applicant fails to pay the requisite application
fee(s) associated with an application, the qualifying patient,
primary caregiver, or cultivation identification card will be
denied.
E. Any denial shall be issued by the department in writing to the consumer, qualifying patient, or primary caregiver,
and shall include the specific reasons for the denial and the
process for requesting review of the department’s decision.
Renewal.
A. Qualifying patient identification cards are valid for
three (3) years from their date of issuance and shall be renewable by submitting, prior to expiration by at least thirty (30)
days but no sooner than sixty (60) days, a new or renewal application, which shall include all required information, including
a new physician certification.
B. Primary caregiver identification cards are valid for
three (3) years from their date of issuance and shall be renewable by submitting, prior to expiration by at least thirty (30)
days but no sooner than sixty (60) days, a new or renewal application, which shall include all required information.
(I) A qualifying patient with a primary caregiver(s)
must renew their qualifying patient identification card before
the associated primary caregiver renewal application(s) will be
processed.
(II) The approved primary caregiver renewal application will only serve to renew the primary caregiver identification card if the associated qualifying patient has an approved
renewal patient application.
C. Qualifying patient cultivation and primary caregiver
cultivation identification cards are valid as long as the qualifying patient’s or primary caregiver’s identification card is still
valid, up to three (3) years from its date of issuance.
(I) The cultivation identification card shall be renewable by submitting, prior to expiration by at least thirty (30)
days but no sooner than sixty (60) days, a new or renewal patient or caregiver cultivation application.
(II) The renewal cultivation application shall include
all required information.
(III) The application will only serve to renew the cultivation identification card if the individual has an approved
renewal patient or caregiver application.
D. Consumer cultivation identification cards are valid for
one (1) year from their date of issuance and shall be renewable
by submitting, prior to expiration by at least thirty (30) days but
no sooner than sixty (60) days, a new or renewal application,
which shall include all required information.
(C) Administrative penalties.
- Qualifying patient, primary caregiver, and cultivation
identification cards may be sanctioned.
A. If a card holder violates any provision of this chapter
or Article XIV, any identification cards currently held by that
individual may be revoked.
B. If, after an identification card has been issued, the
department determines that an applicant has failed to provide
a complete application including requisite application fees, or
has provided false or misleading information in the application, the department may revoke the identification card.
C. If a card holder is found to be in possession of an
amount of marijuana product between the legal limit applicable to that individual and up to twice the legal limit applicable to that individual, they shall be subject to department
sanctions, including an administrative penalty of up to two
hundred dollars ($200) and loss of their identification card for
up to a year.
D. If a qualifying patient, primary caregiver, or cultivation card holder commits a criminal offense related to distribution of marijuana product, whether or not a criminal charge
has been filed, any marijuana identification cards currently
held by that individual shall be revoked.
E. If a cultivation identification card holder fails to
immediately make available access to his or her cultivation
facility upon request from the department, the cultivation
identification card shall be revoked.
F. If a consumer cultivator, qualifying patient, or primary
caregiver uses combustible gases or other dangerous materials
to extract resins from marijuana, the individual’s identification
card may be subject to department sanctions, including an
administrative penalty of one thousand dollars ($1000) and loss
of their identification card for up to one (1) year.
G. If a qualifying patient, primary caregiver, or cultivation card holder advertises to sell or sells marijuana product,
the individual’s identification card may be revoked. - In any case of identification card revocation, the department may notify the card holder that it will not accept a new
application for the same card type for a designated period of
time. - Any revocation shall be issued by the department in
writing to the consumer or qualifying patient or, in the case of
a primary caregiver, to the qualifying patient and the primary
caregiver, and shall include the specific reasons for the revocation and the process for requesting review of the department’s
decision.
AUTHORITY: sections 1.3.(1)(b), 1.3.(2), 2.4(1)(b), and 2.4(4) of
Article XIV, Mo. Const. Emergency rule filed Jan. 20, 2023, effective
Feb. 3, 2023, expired Aug. 1, 2023. Original rule filed Jan. 20, 2023,
effective July 30, 2023.
