How to Get a Medical Marijuana Card in Nebraska

Nebraska doesn’t yet have a medical marijuana program. However, a group called Nebraskans for Medical Marijuana is trying to get legalization bills on the ballot; several lawmakers have also announced their support for an MMJ program in Nebraska.
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At present, you can’t get an NE medical card since the state does not have an MMJ program. There were tenuous hopes that at least one marijuana initiative would get on the 2022 ballot, but it fell short.

The Cannabis Compassion and Care Act is one major attempt that failed. The legislation, proposed in 2015, would have permitted MMJ patients to use weed in pill or liquid form. However, it faced opposition from the state governor and attorney general and ultimately failed.

Unfortunately, none of the marijuana initiatives proposed by Nebraskans for Medical Marijuana made it to the ballot. This article provides information on both bills, giving you an idea of what a Nebraska medical marijuana program would look like if it ever comes into being. However, please look at the state’s existing cannabis laws first.

Nebraska Medical Marijuana Laws

While marijuana remains entirely illegal in Nebraska, the state decriminalized the possession of up to an ounce in 1979. If caught with this small amount, you pay a maximum fine of $300 as it is a civil infraction. However, if you are found in possession of weed for a second time, you could face a five-day jail term on a misdemeanor conviction.


It is a more serious misdemeanor if found with over an ounce; you could spend up to three months in prison. However, the possession of marijuana doesn’t become a felony in Nebraska unless you’re found with over a pound.

However, selling any amount is a felony; the maximum prison term is 20 years, with a one-year sentence as the mandatory minimum. A subsequent offense could result in a life sentence.

In Nebraska, it is also illegal to grow marijuana. The punishment is based on the aggregate weight of the plants found. Therefore, if your plants produce over a pound of usable marijuana, you could be charged with a felony.

How to Get a Medical Marijuana Card in Nebraska

The two bills proposed by Nebraskans for Medical Marijuana are called:

  • The Patient Protection Act: Protects MMJ patients and their caregivers from arrest for the use of medical cannabis.
  • The Medical Cannabis Regulation Act: Establishes the Nebraska Medical Cannabis Commission to regulate dispensaries that provide MMJ to patients with qualifying conditions.

There is little concrete information on how one would apply for an MMJ card in Nebraska included in the bills. However, it would likely resemble the process used by most states with MMJ programs.

Step 1 – Get in Touch with an NE Healthcare Provider

Your first act would involve finding a healthcare provider willing to write a certification letter. The Patient Protection Act states that a physician, physician assistant, osteopathic physician, or nurse practitioner licensed under the Uniform Credentialing Act could certify an MMJ patient.

Step 2 – Schedule a Consultation

Once you find a cannabis-friendly physician, you would schedule an appointment and bring your medical records. Most MMJ consultations last about 15 minutes. During that time, the doctor would ask you questions about your medical history and determine whether medical marijuana is suitable. At the end of the consultation, the doctor would write a certification letter if you were approved.

Step 3 – Sign up for a Nebraska State Government Account

The Nebraska Medical Cannabis Regulation Act calls for creating a Nebraska Medical Cannabis Commission. This entity would be responsible for developing the required rules for the registration and regulation of MMJ patients. It would need to establish criteria to accept or deny applications.

Step 4 – Register with the Official NE Medical Marijuana Program

It is unclear whether MMJ patients could send the application online or by mail. In any case, the Commission would decide whether a patient is eligible for medical marijuana and mail MMJ cards to qualifying patients.

Step 5 – Visit a Dispensary

Once in receipt of an MMJ card, patients could visit a licensed dispensary.

Who Can Apply for a Medical Marijuana Card in NE?

To apply for a medical marijuana card in NE under the proposed acts, you would need to be 18+, have a qualifying medical condition, and be a resident of Nebraska.

Cost of MMJ Card in NE

There is little accurate information on what a medical marijuana card would cost in NE. In other states with MMJ programs, the application usually costs between $50 and $100. Also, doctors typically charge anywhere from $100 to $250 for the consultation.

NE MMJ Card Qualifying Conditions

There is no clearly defined list of NE medical marijuana card qualifying conditions. However, they would likely include:

  • ALS
  • Cancer
  • Huntingdon’s disease
  • PTSD
  • Crohn’s disease
  • Severe nausea
  • Chronic pain
  • Glaucoma
  • Epilepsy

How to Renew My Nebraska Medical Card?

There is no information on how one would renew an MMJ card in Nebraska. However, it is worth noting that a doctor’s written certification would be valid for two years.

Other Information on the Nebraska Medical Marijuana License Process

Below is some other information on the proposed Nebraska medical marijuana program gleaned from the available bills.

What Types of Cannabis Can I Purchase in NE?

According to the Nebraska Medical Cannabis Patient Protection Act, MMJ patients could use marijuana flower, hashish, and concentrated cannabis. It also mentions topical and oral administrations, along with food and beverages. Therefore, it seems as if few restrictions on products would apply.

How to Get a Medical Marijuana Card in NE Online

It seems unlikely that Nebraskans could schedule an online doctor’s consultation when looking for MMJ certification.

Can I Register My Child for Medical Marijuana in NE?

The proposed legislation would allow minors to apply for MMJ in Nebraska. Such applicants would need the permission of a parent or legal guardian with the authority to make healthcare decisions.

Where Can I Purchase MMJ in Nebraska?

The state would need to approve a medical marijuana program and begin awarding dispensary licenses. Only then will we know how many dispensaries are available.

How Much Cannabis Can I Buy & Possess?

The proposed bills would allow up to five ounces of MMJ.

Can You Grow Marijuana in Nebraska with a Medical Marijuana Card?

If MMJ becomes legal in Nebraska, it is unlikely that patients will be allowed to cultivate marijuana plants at home.

Where Can I Use My MMJ?

As with almost every other medical marijuana program, patients must use their medicine in a private residence.

Can I Take My MMJ to a Different State?

No. It is illegal to transport marijuana across state lines.

What Are the Caregiver Rules?

MMJ patients would be permitted to nominate a caregiver. This individual must be aged 21+ and be designated by the patient in a signed affidavit.

When Did Medical Marijuana in Nebraska Become Legal?

Unfortunately, MMJ remains legal in Nebraska. The state’s Supreme Court invalidated a medical marijuana ballot measure in 2020 for containing more than one question. Furthermore, a legalization initiative for 2022 will not appear on the ballot.

Nebraskans for Medical Marijuana submitted 98,000 signatures for two cannabis initiatives, 11% more than the requirement. However, the office of Bob Evnen, the Nebraska Secretary of State, deemed that neither initiative received enough valid signatures.

Therefore, Nebraskans in favor of weed will have to wait to make another effort to legalize the substance.

How to Get a Medical Marijuana Card in Omaha

Residents of Omaha will go through the standard application process. As the city contains about 25% of Nebraska’s population, it would likely have a significant number of dispensaries.

Final Thoughts on Getting a Nebraska Medical Marijuana Card

Despite the best efforts of the Nebraskans for Medical Marijuana, it seems likely that the latest attempt to legalize MMJ in Nebraska will fail. However, it is far from the end of the matter.

Senator Jen Day has already pledged to introduce an MMJ legalization bill during the 2023 legislation session, which begins on January 4. Political opposition remains strong, but with more lawmakers on the side of marijuana legalization, not to mention growing public support, there’s a real chance that Nebraska will allow medical weed sooner rather than later.

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