A Guide to Missouri's Medical Cannabis Law


On November 6, 2018, Missouri voters passed Amendment 2. Amendment 2 amends the Missouri Constitution to allow state-licensed physicians to recommend medical marijuana to patients who could benefit from the drug. The initiative also imposes state restrictions on personal use and possession of medical cannabis, and also on growth and sale of medical cannabis by licensed, regulated facilities.

Amendment 2 imposes a four percent tax on sales. It is estimated that state tax revenues will generate $20 million per year. The sale of medical cannabis is estimated to generate annual taxes and fees of $18 million for state operating costs and veterans’ programs, and $6 million for local governments. Annual state operating costs are estimated to be around $7 million to administer the program. The Missouri Veterans Commission will use this revenue for veterans’ health care services, living expenses, housing and workforce development.

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