As of March 2026, at least eight states have medical/adult-use cannabis reform proposals in process.

Colorado

On January 14, 2026, Colorado lawmakers introduced SB26-007 – ‘Medical Marijuana Use in Health Facilities’. The bill would authorize (but not mandate) health facilities such as hospitals to allow patients who are terminally ill and registered in the state’s medical cannabis program to use medical cannabis within the health facility.

Status: House Third Reading Passed (March 10, 2026)

Hawaii

On January 30, 2026, Senate Bill 3275 was introduced, proposing to legalize low-dose and low-potency cannabis (defined to contain a maximum of 5mg of THC per serving and for liquid form, up to 5mg of THC per twelve ounces) for personal use by adults aged 21 and over as well as home cultivation. However, the bill does not establish a licensing scheme for cannabis businesses.

Status: Senate Passed Second Reading (February 20, 2026)

Kansas

Kansas House Democrats introduced two bills on February 4, 2026, that would legalize medical cannabis (HB 2678) and recreational cannabis (HB 2679). HB 2678 would allow patients diagnosed with any of 21 qualifying conditions to receive medical cannabis treatment. HB 2679 would make it legal for individuals aged 21 and over to purchase up to 1 ounce of flower (or equivalent amount in a different product form). The director of the Kansas Alcoholic Beverage Control would be responsible for maintaining a seed-to-sale tracking system. An 8% cannabis excise tax would apply to both medical and adult-use sales.

Status: Both referred to Committee on Federal and State Affairs (February 4, 2026)

Louisiana

House Bill 373 was introduced in February 2026, proposing to establish an adult-use cannabis pilot program. Recreational cannabis would only be sold at already licensed medical cannabis dispensaries and a 3.5% fee would be charged on wholesale cannabis sales. If approved, the pilot program would start on January 1, 2027 and operate until July 1, 2030. The data from the pilot program would then be used to consider whether a permanent adult-use program should be established.

Status: Referred to the Committee on Health and Welfare (March 9, 2026)

Pennsylvania

Gov. Josh Shapiro has included recreational cannabis legalization again in his 2026-2027 Executive Budget, stating that it could generate $200 million annually in taxes once fully operational. Under the proposed plan, legalization would occur by July 1, 2026, and regulated sales would start on January 1, 2027.

Tennessee

In February 2026, the Pot for Potholes Act (SB 2440/HB 2525) was reintroduced in Tennessee, proposing allow adults aged 21 and over to possess up to 60 grams of cannabis and up to 15 grams of concentrate, as well as grow up to 12 plants at home for personal use. It would also establish a licensing system. A 15% tax would be imposed on cannabis sales.

Status (SB2440): Senate referred to Senate Judiciary Committee (February 5, 2026)

Status (HB2525): House assigned to s/c Criminal Justice Subcommittee (February 5, 2026)

Virginia

On March 14, Virginia House and Senate lawmakers both approved two companion bills (House Bill 642 and Senate Bill 542) that establish regulations for the state’s adult-use cannabis market. The companion bills now head to Virginia Governor Abigail Spanberger’s desk who has stated in the past that she would sign into law a regulated framework for an adult-use cannabis market if it reaches her desk. The approved version of the regulations proposes that adults may legally purchase up to 2.5 ounces of cannabis in a single transaction; legal sales start on January 1, 2027; and an excise tax of 6% on cannabis sales, among other laws.

Personal cannabis possession and home cultivation was legalized in 2021 but no regulated market framework was created, leaving Virginia’s cannabis users with nowhere to buy legal products from in their state.

Status: Passed by House and Senate (March 14, 2026)

Wisconsin

On February 24, 2026, Wisconsin Democrats introduced Senate Bill 1045, proposing to legalize possession of cannabis for recreational purposes and establish a licensing system for cannabis businesses.

Status: Referred to Committee on Licensing, Regulatory Reform, State and Federal Affairs (February 24, 2026)

2026 Cannabis Reform Proposals Infographics

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