# Alcoholic Beverages and Cannabis (GAB)

## Title 36. Medical and Adult-Use Cannabis

### Subtitle 3. Medical Use of Cannabis

#### Section 36-301

(a) The Administration shall register as a certifying provider an individual who:

  (1) meets the requirements of this subtitle; and

  (2) submits the required application to the Administration.

(b) To be registered as a certifying provider, a provider shall submit an application to the Administration that includes:

  (1) the reasons for including a patient under the care of the provider for the purposes of this subtitle, including the patient's qualifying medical conditions;

  (2) an attestation that a standard patient evaluation will be completed, including a history, a physical examination, a review of symptoms, and other relevant medical information; and

  (3) the provider's plan for the ongoing assessment and follow-up care of a patient and for collecting and analyzing data.

(c) The Administration is encouraged to approve provider applications for the following:

  (1) a chronic or debilitating disease or medical condition that results in a patient being admitted into hospice or receiving palliative care;

  (2) a chronic or debilitating disease or medical condition or the treatment of a chronic or debilitating disease or medical condition that produces:

    (i) cachexia, anorexia, or wasting syndrome;

    (ii) severe or chronic pain;

    (iii) severe nausea;

    (iv) seizures; or

    (v) severe or persistent muscle spasms;

  (3) glaucoma; or

  (4) post-traumatic stress disorder.

(d) The Administration may not limit treatment of a particular medical condition to one class of providers.

(e) The Administration may approve applications that include any other condition that is severe and for which other medical treatments have been ineffective if the symptoms reasonably can be expected to be relieved by the medical use of cannabis.

(f) A certifying provider or the spouse of a certifying provider may not:

  (1) receive any gift from a cannabis licensee;

  (2) hold an ownership interest in a cannabis licensee or a business that controls a cannabis licensee; or

  (3) receive any compensation from a cannabis licensee.

(g) A certifying provider shall issue each written certification in the form required by the Administration.

(h) A certifying provider may discuss medical cannabis with a patient.

(i)

  (1) A certifying provider registration is valid for 2 years.

  (2) The Administration shall grant or deny a renewal of a registration based on the provider's performance in complying with regulations adopted by the Administration.

#### Section 36-302

(a) A qualifying patient or caregiver may obtain medical cannabis from a dispensary licensed by the Administration.

(b)

  (1) A qualifying patient who is at least 21 years old may not cultivate more than four cannabis plants.

  (2) If two or more qualifying patients who are at least 21 years old reside at the same residence, not more than four cannabis plants may be cultivated at that residence.

  (3) Except as provided in paragraphs (1) and (2) of this subsection, a qualifying patient shall comply with the cannabis cultivation requirements established under Sec. 5-601.2 of the Criminal Law Article.

(c) A qualifying patient under the age of 18 years may obtain medical cannabis only through:

  (1) the qualifying patient's caregiver; or

  (2) any designated school personnel authorized to administer medical cannabis to a student in accordance with the guidelines established under Sec. 7-446 of the Education Article.

(d) A caregiver may serve not more than five qualifying patients at any time.

(e)

  (1) Except as provided in paragraph (2) of this subsection, a qualifying patient may have not more than two caregivers.

  (2) A qualifying patient under the age of 18 years may have not more than four caregivers.

(f) A sale of cannabis or cannabis products to a qualifying patient is not subject to taxes imposed on the sale of cannabis or cannabis products under Sec. 11-104(k) of the Tax - General Article.

(g) A qualifying patient may not possess more than the amount of cannabis or cannabis-infused product that is authorized in the written certification of the patient.

(h) Designated school personnel described in subsection (c)(2) of this section:

  (1) may administer to a student only medical cannabis:

    (i) that is obtained through the student's caregiver; and

    (ii) in accordance with dosing, timing, and delivery route instructions as provided by the certifying provider's written instructions; and

  (2) are not required to register with the Administration under this subtitle.

(i) A caregiver may administer medical cannabis to a student who is a qualifying patient of the caregiver on school property, during school-sponsored activities, and while on a school bus.

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Md. Code Ann., Alco. Bev. (as displayed at mgaleg.maryland.gov, October 16, 2026)