Marijuana Laws: A Look Back at 2021

2021 Look Back MMJ
In 2021, states across the United States enacted over 50 pieces of pro-marijuana legislation, including laws for legalization, decriminalization, and expansion of access to medical marijuana programs. Notably, these changes were initiated by state legislative bodies, reflecting a shift in cannabis legislation. Adult-use marijuana became legal in five more states, and 18 states now have laws regulating cannabis production and use by adults, with 36 states approving the use of medical marijuana. Additionally, several states passed legislation allowing for the sealing or removal of records relating to certain marijuana-related convictions, reflecting the growing acceptance of marijuana use both recreationally and for medical reasons.
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In contrast to a year of headlines dominated by divisional politics and Covid-19 warnings, 2021’s news on the medical marijuana front is decidedly positive. Over the course of the year, states across the country enacted more than 50 individual pieces of pro-marijuana legislation touching on everything from legalization and decriminalization to the expansion of access to medical marijuana programs and juvenile justice.

It is noteworthy that these changes to the legal system were initiated by state legislative bodies rather than by grassroots citizens’ initiatives that were a hallmark of many previous reforms to marijuana law. This paradigm shift in cannabis legislation comes at a time when polling indicates that nearly half of all Americans have used marijuana at some point, and nearly 70% support the full legalization of marijuana use. Currently, 18 states have laws regulating cannabis production and use by adults, and 36 states have approved the use of medical marijuana.

Marijuana Legalization (2021)

Adult-use marijuana by persons aged 21 and older became legal in five more states in 2021. In Connecticut, possession of up to five ounces of marijuana or an equivalent amount of cannabis concentrates is now legal in a private residence, and up to 1.5 ounces in public. The same law also allows for the automatic review and expungement of criminal records involving up to four ounces of marijuana, and the ability for persons with more serious marijuana-related offenses to petition the courts.

New Jersey now sanctions commercial production and adult-use retail sale of marijuana, and legalizes possession of up to one ounce of cannabis. Additional state legislation removes both criminal and civil penalties for private adult possession of up to six ounces of cannabis or 170 grams of hashish, removes penalties on the transfer of up to one ounce of marijuana, and reduces penalties on transfers of less than five pounds.

In New Mexico, adults aged 21 and up can now purchase up to two ounces of marijuana and/or 16 grams of cannabis extracts from licensed retail outlets, and home cultivation of up to six mature plants is permitted for personal use. Cultivation for personal use is also now legal in New York state following the passing of the Marijuana Regulation and Taxation Act which also creates a pathway for the automatic review and expungement of prior marijuana convictions. Home cultivation of up to four marijuana plants is now also allowed under Virginia law, along with possession of up to one ounce of marijuana. The state legislature has also set a time frame for the establishment of retail cannabis production and sales by or before January of 2024.

Cannabis Decriminalization (2021)

While the state of Louisiana has yet to legalize either medical or recreational marijuana use, possession of up 14 grams of marijuana is now classified as a misdemeanor subject to a $100 fine, and no longer an offense punishable by jail time. This law applies to both first-time and repeat offenses.

Marijuana Expungement Laws (2021)

In reaction to the growing acceptance of marijuana use both recreationally and for medical reasons, a number of states have passed legislation allowing for to the sealing or removal of records relating to certain marijuana-related convictions. In addition to the previously mentioned Connecticut and New York provisions for the expungement of marijuana-related criminal records, the state of Colorado has passed legislation allowing individuals with prior marijuana convictions to have their records sealed by way of a court petition. The same bill increases the possession threshold for recreational users. Previously, adults were permitted one ounce of marijuana or cannabis concentrate without penalty, while possession of one to two ounces was classified as a petty offense carrying a $100 fine. These civil penalties have now been removed.

The state of Delaware expanded its current expungement laws, which will now allow some juveniles with previous marijuana convictions to petition the courts for the sealing of records, and New Mexico has instituted an automatic process for the review and expungement of records for low-level marijuana convictions. Virginia has adopted a similar legal process for the automatic review and sealing of records for some low-level marijuana convictions.

Expansion of Cannabis Access (2021)

As a result of new legislation in 2021, medical marijuana is now available in 70% of all states, and a number of states have enacted new regulations designed to improve patient access to cannabis therapies. The list of legislative changes created to increase access to medical marijuana is lengthy and spans 17 states.

Alabama has joined the roster of states where medical marijuana is available, but with certain limitations. Patients are allowed to possess up to 70 daily doses of cannabis derivatives, with a maximum dose of 50 milligrams. Cannabis flower is not allowed under this program, and formulations must be administered in either oral doses, topical applications or by inhaler. The Louisiana legislature went one step further to include the sale of “raw or crude” cannabis to registered medical marijuana patients. Beginning January 1 of 2022, qualifying individuals are allowed to purchase up to 2.5 ounces of medical marijuana during each 14-day window.

A number of states have made provisions allowing for the expansion of licensed outlets for the distribution of medical marijuana, and increased the pool of caregivers who are qualified to authorize its use. A revision of Colorado law will require school boards to create policies allowing school personnel to posses, store and administer cannabis-based medications, or to serve as a volunteer assisting in the administration of cannabis-based medicines. Delaware adds nurse practitioners and physician assistants to the list of health professionals who are able to authorize the use of medical marijuana. Georgia now has a state licensing program that will allow for up to 30 retail outlets to sell high-CBD/low-THC oil-based formulations to qualified individuals.

North Dakota expanded the total number of caregivers authorized to provide services to medical marijuana patients, while also eliminating the current $50 application fee for authorization. Similar legislation in Minnesota increases the number of patients an individual caregiver can serve from one to six, allows for curbside pickup of medications and expands approved medications to include cannabis flower. A pair of new laws in Utah expands the number of medical professionals who are authorized to qualify patients for medical marijuana use, and authorizes the state’s Department of Health to issue additional licensees for the sale of medical marijuana. In addition, patients are now able to access medications while their applications for use are pending review.

States have also expanded the scope of qualifying conditions for which medical marijuana may be used. New Hampshire now recognizes moderate to severe insomnia and autism spectrum disorder as qualifying conditions for medical marijuana use. Additional state legislation adds opioid disorders as a qualifying condition and permits the sale of cannabis therapies to out-of-state residents who are qualified for medical marijuana use in their home state or other jurisdictions. Texas now allows patients suffering from PTSD and all forms of cancer to access low-THC cannabis products, while also raising the allowed THC content of these products from .5 to 1 percent. In Pennsylvania, eligible conditions for medical cannabis therapy now include cancer remission therapy and CNS-related neuropathy. In addition, patients with chronic pain conditions are no longer required to seek relief through prescription pain medications prior to qualifying for relief from medical marijuana. This legislation also increased the quantity of medical marijuana that a patient can possess over a 90-day period.

In recognition of the growing trend to remote medicine, two more states have removed in-person visits to qualify for medical marijuana. Beginning January 2022, patients in Arkansas can gain access to medical marijuana by way of a telehealth certification. The same bill provides patients visiting from another state with up to 90 days of access to medical marijuana. New Jersey has also passed legislation allowing telehealth authorizations for medical marijuana.

Virginia has passed a trio of bills to increase access to medical marijuana and to facilitate its use. Residents of hospice and other caregiving facilities now have access to certain forms of medical cannabis, and qualification for therapies can now be obtained by way of telehealth appointments. State law now allows for the production and dispensing of whole-plant cannabis products for medical purposes, and employers are prohibited from disciplining or terminating employees for the lawful use of medical marijuana when not at work. Other noteworthy changes to state law that enhance access to medical marijuana include Oregon‘s waving of application fees for some veterans seeking access to medical cannabis, and the District of Columbia‘s move to establish a grace period within which medical cannabis patients can continue to access therapies without renewing their authorization.

Marijuana & Impaired Driving Laws (2021)

In keeping with the growing understanding that simply testing positive for marijuana use may not correlate to impaired driving, states continue to modify existing traffic safety laws that in the past have proven excessive prejudicial.  Indiana law now provides a defense for drivers who test positive for THC or its metabolite, provided they are approved for medical marijuana use, show no signs of impairment and are not involved in an accident. Amendments to Nevada‘s traffic safety statutes specify that under certain circumstances the operation of a motor vehicle with trace amounts of THC or its metabolite is no longer a per se violation of law.

Cannabis Industry (2021)

As the medical marijuana industry becomes an increasingly widespread and accepted element of the health care system, states are enacting legislation designed to provide a broader element of society with equitable access to capital and business opportunities in the field. A new program established by Colorado’s Office of Economic Development and International Trade has received $4 million in initial funding to provide financial and technical support to cannabis businesses operated by those holding social equity licenses. In an effort to expand diversity with the state’s medical marijuana industry, Illinois has sanctioned the creation of more than 100 new dispensary licenses, which will be awarded on a lottery basis to qualified social equity applicants. In Vermont a $500,000 Cannabis Development Fund provides financial assistance and outreach programs for social equity applicants seeking to create a licensed medical marijuana business.

States are also working to eliminate barriers to entry into the industry stemming from prior marijuana-related offenses. A new Michigan law allows individuals with previous felony and misdemeanor marijuana convictions to apply for state licensing to operate a medical marijuana business. Washington state has expanded the range of applications eligible for licensed participation in the state’s marijuana industry, with persons with either felony criminal records or multiple misdemeanors now eligible for consideration for licensure. Additionally, the state has increased the resources available for license seekers with past marijuana convictions.

Nevada has established a unique license for adult-use, on-site cannabis consumption lounges, either as an extension of a retail facility, or as a stand-alone business. As of September 2021, home-delivery of adult-use cannabis products to adults aged 21 and older is now allowed in certain Oregon jurisdictions. In an effort to spur industry growth, a South Dakota initiative “authorizes banks to engage in business with industrial hemp or marijuana licensees and associated persons.”

Two additional pieces of cannabis-related legislature of note include a California bill that allows for the production and sale of foods and drinks containing hemp-derived CBD, and an Illinois statute that ensures applicants will not be disqualified from seeking cash assistance under the Temporary Assistance for Needy Families (TANF) program solely because of conviction for a past drug-related felony.

Marijuana: Juvenile Law (2021)

The ongoing decriminalization of marijuana has led some states to rethink their approach to juvenile justice for cannabis-related offenses. Delaware now allows law enforcement agencies to refer juvenile marijuana offenders to counseling, treatment, or other appropriate intervention services in lieu of a monetary fine. A new Montana law reduces penalties for individuals under the age of 21 who are in possession of any amount of marijuana. Nevada revised penalties for minors in possession of up to one ounce of cannabis, with first-time offenders now eligible for community service. Additionally, upon completion of this sentence, the individual’s records will be automatically sealed by the courts. Even more benign penalties are now sanctioned under a New Jersey statute that allows for written warnings in lieu of fines or criminal penalties for persons under the age of 21 found in possession of cannabis.

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Updated: May 28, 2024

Article Written By:

Pierce Hoover

Pierce Hoover is a career journalist with more than three decades of experience in print, broadcast and online writing, editing and reporting, with more than 5,000 articles published in national and international print media and online. His focus on medical marijuana therapies mirrors his broader interest in science-based alternative medical practices.


Questions about medical marijuana? Ready to get your card and purchase legal cannabis products? CannaMD‘s state-certified network of medical marijuana doctors are here to help! Contact CannaMD‘s experienced team at (855) 420-9170 today. You can also find out if you qualify for medical marijuana treatment with our quick online application!

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You may be eligible for medical marijuana!

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