Montana’s official government site providing the rules and regulations in the state can be found at :


Initiative 148 took effect on the day it was passed by voters in 2004. Patients must submit written medical certification by a licensed physician, pay an application fee and fill out an application form in order to become registered and be issued a valid medical marijuana identification card. Current patients must renew their application each year. Montana allows visiting qualifying medical marijuana patients with a valid medical marijuana identification to medicate within the state.

  • Illnesses: cachexia; severe or chronic pain; severe nausea; epilepsy and other conditions characterized by seizures; multiple sclerosis and other muscle spasticity disorders; Crohn’s disease
  • Possession: 1 ounce of usable marijuana
  • Cultivation: Six marijuana plants
  • Dispensaries: Current law does not allow for dispensaries


Medical Marijuana Program
Montana Department of Health and Human Services
Licensure Bureau
2401 Colonial Drive, 2nd Floor
P.O. Box 202953
Helena, MT 59620-2953
Phone: 406-444-2676

MT Medical Marijuana Program

Medical Marijuana Program FAQs  (35 KB)

Information provided by the state on sources for medical marijuana:
“The Medical Marijuana Act… allows a patient or caregiver to grow up to six plants or possess up to one ounce of usable marijuana. The department cannot give advice or referrals on how to obtain a supply of marijuana… State law is silent on where grow sites can be located.” (accessed Jan. 11, 2010)

Patient Registry Fee:
$25 new application/$10 renewal
(reduced from $50 as of Oct. 1, 2009)

Accepts other states’ registry ID cards?
No (reciprocity ended when SB 423 took effect)


Initiative 148  (76 KB) — Approved by 62% of voters on Nov. 2, 2004

Effective: Nov. 2, 2004

Approved Conditions: Cancer, glaucoma, or positive status for HIV/AIDS, or the treatment of these conditions; a chronic or debilitating disease or medical condition or its treatment that produces cachexia or wasting syndrome, severe or chronic pain, severe nausea, seizures, including seizures caused by epilepsy, or severe or persistent muscle spasms, including spasms caused by multiple sclerosis or Chrohn’s disease; or any other medical condition or treatment for a medical condition adopted by the department by rule.

Possession/Cultivation: A qualifying patient and a qualifying patient’s caregiver may each possess six marijuana plants and one ounce of usable marijuana. “Usable marijuana” means the dried leaves and flowers of marijuana and any mixture or preparation of marijuana.

Amended: SB 423  (100 KB) — Passed on Apr. 28, 2011 and transmitted to the Governor on May 3, 2011

Effective: July 1, 2011

SB 423 changes the application process to require a Montana driver’s license or state issued ID card. A second physician is required to confirm a chronic pain diagnosis.

“A provider or marijuana-infused products provider may assist a maximum of three registered cardholders…” and “may not accept anything of value, including monetary remuneration, for any services or products provided to a registered cardholder.”

Approved Conditions: Cancer, glaucoma, or positive status for HIV/AIDS when the condition or disease results in symptoms that seriously and adversely affect the patient’s health status; Cachexia or wasting syndrome; Severe, chronic pain that is persistent pain of severe intensity that significantly interferes with daily activities as documented by the patient’s treating physician; Intractable nausea or vomiting; Epilepsy or intractable seizure disorder; Multiple sclerosis; Chron’s Disease; Painful peripheral neuropathy; A central nervous system disorder resulting in chronic, painful spasticity or muscle spasms; Admittance into hospice care.

Possession/Cultivation: Amended to 12 seedlings (less than 12″), four mature flowering plants, and one ounce of usable marijuana.

On Nov. 6, 2012, Montana voters approved initiative referendum No. 124 by a vote of 56.5% to 43.5%, upholding SB 423.



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