As of June 2025, medical marijuana remains illegal in just 11 U.S. states.
However, with growing bipartisan support, shifting public opinion, and increasing legislative activity, several of these states appear poised to make progress on medical cannabis legalization in the near future. Below are the eight states most likely to do so next.
North Carolina
North Carolina has made repeated attempts to pass medical marijuana legislation in recent years, with the Senate approving a bill multiple times. The effort has continued to stall in the House, but supporters—including Governor Josh Stein—remain optimistic. Stein backs the policy and has begun assembling a marijuana advisory group that could shape future proposals, including the potential legalization of both medical and recreational cannabis. With public support at nearly 80%, pressure is mounting on lawmakers to finally get something done.
South Carolina
South Carolina State Senator Tom Davis (R) has championed the Compassionate Care Act for over a decade, and momentum continues to build. The bill passed the Senate in 2023 and nearly cleared the House in 2024. Davis says 2026 will be the year it finally crosses the finish line. The proposal is narrowly tailored, limiting use to qualified patients and dispensing through pharmacies. Backers believe the conservative framework may help overcome remaining opposition.
Kansas
Kansas came close to legalizing medical marijuana in 2021, with the House passing a bill that ultimately died in the Senate. Efforts since then have been slower, but a new bipartisan group of lawmakers is working behind the scenes on a fresh proposal. Governor Laura Kelly supports medical marijuana, and recent polling shows most Kansans agree. As surrounding states embrace reform, Kansas risks being left behind unless it acts soon.
Wisconsin
While Wisconsin is often mentioned in conversations about full legalization, the state has yet to pass a basic medical marijuana law. Governor Tony Evers has repeatedly included legalization in his budget proposals, and Democrats have backed standalone bills. Although Republicans control the legislature, growing public support and the economic draw of cannabis revenue may help shift opinions. Some GOP lawmakers have even signaled openness to a limited medical bill in 2026.
Indiana
Indiana lawmakers have filed several medical marijuana bills in recent years, though none have advanced far. Still, support is rising on both sides of the aisle, and a 2024 interim study committee was established to examine the issue. Advocates hope that work will lead to legislation in 2026. Governor Eric Holcomb has softened his opposition somewhat, suggesting that federal rescheduling could prompt state-level action.
For a look at the eight states most likely to legalize recreational cannabis next, click here.
