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States with Cannabis Policy at Stake in the 2024 Presidential Election

The 2024 election will see several states placing cannabis-related measures on the ballot, and the outcomes could significantly influence the future of the industry both at the state and federal levels. Below are the key states with important cannabis initiatives at stake.


Florida: Adult-Use Legalization

Florida is one of the most closely watched states for cannabis reform in 2024. The state has already legalized medical marijuana, but voters will once again decide on the legalization of recreational cannabis through Amendment 3. Despite repeated efforts, previous initiatives for recreational use failed due to not reaching the required 60% approval threshold, which is higher than in many other states.

What’s at Stake:

  • Economic Growth: Legalization could bring billions in tax revenue. Florida is a populous state, and adult-use legalization would create one of the largest cannabis markets in the U.S.
  • Political Influence: Florida’s status as a swing state means this issue could influence national cannabis policy. If Florida passes the measure, it could increase pressure on federal lawmakers to advance cannabis reforms.
  • Opposition: Strong opposition from well-funded groups, including the Florida Freedom Fund and Keep Florida Clean, continues to challenge the initiative​mg MagazineFlourish.

Nebraska: Medical Cannabis Legalization

Nebraska, which currently has some of the strictest cannabis laws in the U.S., will vote on two medical cannabis initiatives in 2024. Initiative 437 aims to legalize medical cannabis for patients with qualifying conditions, while Initiative 438 will establish a framework for regulating the program.

What’s at Stake:

  • Medical Access: If passed, Nebraska would join the majority of states that have legalized medical cannabis, providing relief to patients suffering from chronic conditions.
  • Significance of Local Control: This is Nebraska’s first real opportunity for legalization, as previous initiatives have failed due to technicalities. The state legislature could face additional pressure to loosen its stringent cannabis laws if this measure passes​mg MagazineFlourish.

South Dakota: Adult-Use Legalization

South Dakota has a complex history with cannabis legalization. In 2020, voters approved a measure legalizing both medical and recreational cannabis, but the recreational part was struck down by the state’s Supreme Court. In 2022, a second attempt at legalizing recreational use narrowly failed. Now, the state will vote on Measure 29, which seeks to legalize recreational cannabis again in 2024.

What’s at Stake:

  • A Third Attempt: South Dakota voters will again decide whether to allow adults to use and possess cannabis, making this a pivotal moment for legalization efforts.
  • Potential for National Ripple Effects: Success in South Dakota, a traditionally conservative state, could encourage other conservative states to reconsider their cannabis policies​mg MagazineCannabis Business Executive.

North Dakota: Adult-Use Legalization

North Dakota voters rejected adult-use cannabis in both 2018 and 2022, but in 2024, Initiated Measure 5 offers another opportunity. This initiative would legalize recreational use for adults 21 and over, including provisions for home cultivation.

What’s at Stake:

  • Economic Development: North Dakota’s economy could benefit from legalized cannabis, especially in rural areas where new industries are needed.
  • Law Enforcement: The initiative proposes clear limits on possession, which advocates believe will help differentiate between personal use and illegal distribution​mg MagazineCannabis Business Executive.

Arkansas: Medical Expansion

Arkansas already has a medical marijuana program, but advocates are pushing to expand eligibility and access through a ballot initiative that would make it easier to qualify for a medical card. This expansion could significantly broaden the scope of the state’s program.

What’s at Stake:

  • Access for Patients: By reducing barriers to obtaining a medical card and expanding the list of qualifying conditions, the initiative could increase access to cannabis for patients in need.
  • State Program Development: Arkansas’ gradual approach serves as a model for other states looking to expand medical cannabis without moving to full legalization​mg MagazineCannabis Business Executive.

Maryland: Social Equity and Market Regulation

Maryland, which legalized adult-use cannabis in 2023, is focused on implementing social equity programs and expanding access. The state’s approach includes financial and educational support for minority-owned businesses, distinguishing it from other states where social equity initiatives have faced challenges.

What’s at Stake:

  • Equity in the Industry: Maryland is taking steps to ensure that minority entrepreneurs have the support they need to enter the cannabis market, which has faced issues with equitable access in other states.
  • Licensing Process: The state’s focus on a streamlined licensing process could serve as a model for other states struggling with over-regulation and high taxes​Cannabis Business Executive7Engines.

Conclusion: Shaping the National Conversation

Each of these states has something significant at stake in the 2024 election. While states like Florida and South Dakota have high-profile legalization efforts, others like Nebraska and Arkansas are pushing for medical cannabis or program expansions. As more states reform their cannabis laws, the national conversation around cannabis policy will continue to evolve, especially with the prospect of federal rescheduling or legalization looming.


These states’ decisions could not only influence their local economies and public health policies but also contribute to the growing momentum for federal cannabis reform in the U.S.

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