Medical Marijuana Legalization in North Carolina Could Be Coming Soon

Medical marijuana has been gaining ground across the country, but in North Carolina, progress remains slow. While many states have moved forward with comprehensive legalization efforts, North Carolina still lags behind. Marijuana remains illegal for recreational use, and only very limited medical exceptions are allowed, typically involving high-CBD, low-THC extracts for patients with intractable epilepsy.

That could soon change. A new proposal, Senate Bill 350, also known as the Marijuana Justice and Reinvestment Act, is stirring fresh conversation around launching a regulated medical marijuana market. And while the bill has stalled for now, its presence marks a shift in public and legislative sentiment.

A First Step Toward a Regulated Market

Filed on March 19, 2025, Senate Bill 350 seeks to create a regulated medical marijuana program with a limited number of suppliers and dispensaries across the state. Here’s what it proposes:

• Up to 10 supplier licenses allowed

• A maximum of 8 dispensary locations per supplier

• Applicants must show two years of NC residency

• Suppliers must prove experience in marijuana cultivation and distribution

• Nonrefundable $50,000 application fee and $5,000 per facility

• Annual renewal fees starting at $10,000

• Regulated by an 11-member state-appointed board

The bill also proposes to tax marijuana based on potency, a model aimed at discouraging abuse while still making therapeutic use accessible for patients.

Supporters See Compassion; Critics See Concern for Equity

Advocates for SB 350 say the bill offers hope to thousands of North Carolinians suffering from chronic pain, PTSD, cancer, and other debilitating conditions. But critics warn that without equity clauses, the legislation may leave behind the very communities most harmed by past drug laws.

Ankh Ali, co-founder of Gazz Godz, a Charlotte-based marijuana business, noted:

“Senate Bill 350 is a step in the right direction… But we need to push for expungement policies and small business protections to make sure the opportunity is shared, not stolen.”

Indeed, many fear that the costly license fees and strict experience requirements could favor large corporations and multi-state operators, locking out local entrepreneurs and Black farmers.

The Bill Has Stalled, But the Conversation Has Not

As of now, SB 350 has been referred to the Senate Committee on Rules and Operations, where it failed to make the crossover deadline. This means it won’t advance during this legislative session, yet its introduction alone has sparked statewide discussion.

Senator Greg Meyer, who introduced the bill, remains hopeful. He emphasized using North Carolina’s existing ABC model as a system to sell marijuana in a controlled and responsible manner. That framework, he argues, has helped keep alcohol abuse low in the state and could do the same for marijuana.

Why Now Is the Time to Support Medical Marijuana in North Carolina

Patients in North Carolina are speaking out, and their stories highlight the urgent need for compassionate access to medical marijuana. From veterans managing PTSD to parents of children with seizure disorders, many find that traditional pharmaceuticals are either ineffective or come with harsh side effects. One resident shared, “I remain in horrific pain. I’m unable to take any medication to treat my chronic condition. This is inhumane. Makes me want to move.” No one should have to leave their home state to find relief.

When a bill like SB 350 eventually passes, as many believe it will, qualifying patients will need a medical marijuana card to legally purchase products. A card offers legal protection, access to regulated dispensaries, personalized treatment, and doctor-approved care plans. It’s more than just a document, it’s a gateway to safe and effective relief.

Though SB 350 hasn’t finalized a list of qualifying conditions, other state models suggest: cancer, epilepsy, HIV/AIDS, ALS, crohn's disease, sickle cell anemia, parkinson's disease, PTSD, multiple sclerosis, cachexia or wasting syndrome, and severe or persistent nausea will likely be included. If you suffer from any of these, it’s wise to begin consulting with a healthcare provider now to prepare for future access.

What Comes Next?

Although SB 350 didn’t pass this legislative session, the growing wave of public support, increased interest from lawmakers, and continued advocacy from patients all point to one conclusion; it’s only a matter of time before medical marijuana is legalized in North Carolina. 

That’s why now is the time for patients and supporters to stay informed and actively engaged in the process. Reaching out to your state senators and representatives, sharing your story if you or a loved one could benefit, signing petitions, and supporting local advocacy groups are all crucial steps. Educating your community about the importance of medical access can also help push the conversation forward.

The war on marijuana has left behind a long history of injustice. Legalizing medical use is not just about symptom relief, it’s a necessary step toward healing on both a personal and societal level. Medical marijuana could be coming to North Carolina sooner than many think. While the law remains restrictive for now, change is on the horizon. This is the time to learn how to get a marijuana card, speak with qualified medical professionals, and support legislation like SB 350 that puts patients first.

Get Ready for Medical Marijuana

Although medical marijuana is still not legal in North Carolina, it may be legalized soon! You should be sure you are prepared for the program to become operational as soon as possible. In order to do this, you will need to get your medical marijuana card.

Reserve an evaluation online today, and we’ll book an appointment for you with one of our compassionate doctors just as soon as North Carolina’s medical marijuana market is fully operational.

You and your new doctor will meet virtually, using your smartphone, tablet, or computer for a telemedicine appointment. You’ll learn all about how medical marijuana may be able to help your conditions, without even leaving the comfort and safety of your own home. And you’ll even save $25 off the cost of the evaluation!

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Doctors Who Care.

Relief You Can Trust.

Helping everyone achieve wellness safely and conveniently through increased access to medical marijuana. Our focus on education, inclusion, and acceptance will reduce the stigma for our patients by providing equal access to timely information and compassionate care.

If you have any questions, call us at (833) 781-7320, or simply reserve a medical marijuana evaluation to start getting relief you can trust today!