Updated on January 7, 2019.
Medical content reviewed by Dr. Richard Koffler, MD, Board Certified Physiatrist
Montana Medical Marijuana Qualification
Who Qualifies for Medicinal Marijuana in Montana
On November 2, 2004, 62% of Montana voters approved Initiative 148, which removes state-level criminal penalties on the use, possession and cultivation of medical marijuana (also referred to as medical weed, medical pot or medical cannabis) by patients who possess written documentation from their physicians authorizing the medical use of marijuana.
Qualifying patients must register with the Montana Department of Public Health and Human Services and obtain a medical marijuana card.
On June 1, 2011, Senate Bill 423 made significant changes to Montana’s existing medical marijuana law, changing the application process to require a Montana driver’s license or state-issued ID card — patients with a chronic pain diagnosis, require a second physician.
What Ailments Qualify For Medical Cannabis in Montana
Patients in Montana diagnosed with one of the following severe, debilitating, or life-threatening medical conditions, are afforded legal protection under the Montana Medical Marijuana law, as per Initiative 148:
- Positive status for Human Immunodeficiency Virus or Acquired Immune Deficiency Syndrome (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 and by:
- objective proof of the etiology of the pain, including relevant and necessary diagnostic tests that may include but are not limited to the results of an x-ray, computerized tomography scan, or magnetic resonance imaging; or
- confirmation of that diagnosis from a second physician who is independent of the treating physician and who conducts a physical examination;
- Intractable Nausea or Vomiting;
- Chronic Inflammatory Demyelinating Polyneuropathy;
- Epilepsy or an Intractable Seizure Disorder;
- Multiple sclerosis;
- Crohn’s Disease;
- Painful Peripheral Neuropathy;
- A central nervous system disorder resulting in chronic, painful spasticity or muscle spasms;
- Admittance into hospice care in accordance with rules adopted by the department;
- Any other medical condition or treatment for a medical condition approved by the legislature
- * Chronic Pain— effective November 08, 2016
- * Post Traumatic Stress Disorder — effective November 08, 2016
How to Become A Medical Marijuana Patient in Montana
- To meet medical marijuana qualifications in Montana, Patients must be a resident of the state of Montana with proof of residency. If you do not have a Montana I.D. an out of state I.D., passport, or other photo I.D. with proof of residency such as bank statement, utility bill, etc is acceptable.
- Patients must obtain legitimate medical records or documentation from your primary care physician describing their diagnosis and bring these records with you to your marijuana evaluation appointment — *Learn how to request your medical records
- The qualifying patient must have been diagnosed by a physician as having a debilitating medical condition — *Find a certified medical marijuana physician in Montana
- If you are applying for marijuana use for chronic pain, you must provide necessary and relevant x-ray, MRI or other diagnostics; OR have a second physician may confirm the chronic pain diagnosis, after performing a physical exam. Download Physician’s Statement for a Chronic Pain Diagnosis here.
- If the patient is a minor, applying to qualify for medical marijuana on or after June 20, 2011, you are required to have a recommendation from two physicians in order to qualify for the registry.
- Obtain a written certification from a physician licensed in the state of Montana.
- Once the patient has received a written certification from the physician, he or she must register with the Department of Health and Human Services as a qualifying patient, and obtain a Montana Medical Marijuana card from the state of Montana.