Kentucky Medical Cannabis Program (2026) Guide

What is the Kentucky Medical Cannabis Program?

The Kentucky Medical Cannabis Program commenced in January 2025. Medical cannabis only recently became legal in the state after Governor Beshear signed Senate Bill 47 into law in March 2023. Sections 1 to 30 of Senate Bill 47 (SB 47) established the Kentucky Medical Cannabis Program and tasked the Cabinet for Health and Family Service to implement, regulate, and manage it. Under this program, patients with qualifying debilitating conditions will be able to access medical marijuana products legally and designate caregivers. Also, qualifying cannabis patients and caregivers will be required to obtain registry identification cards (medical marijuana cards) once the program officially kicks off.

How Old to Join Kentucky Medical Cannabis Program?

To join the Kentucky Medical Cannabis Program, a person must be at least 18 years old and diagnosed with a qualifying debilitating condition. Qualifying patients who are minors can also apply to the program but need the written consent of designated caregivers, who must be their parents or legal guardians. Under SB 47, caregivers must be at least 21 years old and obtain registry identification cards.

Kentucky Medical Cannabis Program Qualifying Conditions in 2026

The following are qualifying medical conditions for medical marijuana in Kentucky:

• Epilepsy or any other seizure disorder
• Cancer of any type or form, regardless of state
• Post-traumatic stress disorder
• Multiple sclerosis, spasticity, or muscle spasms
• Severe, chronic, debilitating, or intractable pain
• Chronic nausea or vomiting that has defied other conventional treatments
• Any other medical condition or ailment in KRS 164.983 or its successor approved by the Kentucky Center for Cannabis

What Practitioners are Eligible to Recommend the Use of Medical Cannabis?

Kentucky only allows the following medical providers to recommend medical cannabis:

• Medical Doctors (MDs)
• Advanced Practice Registered Nurses (APRNs)
• Doctors of Osteopathy (DOs)

To be eligible, these providers must by authorized by their respective licensing boards and register with the state’s Office of Medical Cannabis.

Must a Practitioner Obtain a License Before Issuing a Medical Card Recommendation?

Yes. To certify qualifying cannabis patients for medical cannabis cards in Kentucky, a healthcare practitioner must be licensed by the state and approved to prescribe controlled substances. DOs and MDs must apply to the Kentucky State Board of Medical Licensure for authorization to issue written certifications for medical cannabis, while APRNs must apply to the Commonwealth's Board of Nursing.

Do Physicians Need to Manage Patients Before Recommending Them for the Kentucky Medical Cannabis Program?

Yes. Section 9(4)(a) of SB 47 requires a medical practitioner to have established a bona fide patient-practitioner relationship with a patient before certifying them for the Kentucky Medical Cannabis Program.

Do Physicians Have to Join the State’s Medical Marijuana Program/Registry to Recommend Medical Marijuana to Patients?

Yes. Licensed medical practitioners who are authorized to certify patients for medical cannabis use are required to enroll in the Kentucky Medical Cannabis Program.

Can a Kentucky Medical Cannabis Program Practitioner Use Telemedicine for Patient Assessment?

Kentucky requires in-person assessments of qualifying cannabis patients by healthcare practitioners before issuing initial written certifications for medical cannabis use. However, subsequent written certifications can be given via telemedicine consultations once patient-practitioner relationships have been established.

How to Find Kentucky Medical Cannabis Program Doctors

Kentucky maintains a searchable index of eligible practitioners authorized to issue written patient recommendations for medical cannabis in the state.

How to Apply for the Kentucky Medical Cannabis Program

• Fix an appointment with a licensed medical practitioner for an in-person medical examination
• If the medical provider finds the patient eligible for cannabis treatment, they will issue a written certification for the use of medical marijuana
• After obtaining a physician's written certification, the patient can apply for a registry identification card via the Patient and Caregiver Registration Portal
• Their application will be reviewed and, if approved, a registry identification card will be issued to them