Cannabis in North Carolina: Decriminalized, Illegal

by | Last updated Jun 23, 2025

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The rules for marijuana across the country can be super confusing. You might hear that weed is “decriminalized” in North Carolina and think it’s legal. But the real story is much more complicated than that.

So, let’s get right to it. Is marijuana legal in North Carolina? The clear answer is no. Using it for fun is illegal. But the state has decriminalized having a tiny amount, which is not the same as being legal. Understanding the true status of cannabis in North Carolina is crucial to avoid serious legal trouble, and this guide will clarify everything.

This is the most confusing part of North Carolina’s law, so let’s break it down into simple terms. “Decriminalized” does not mean you can’t get in trouble.

What Decriminalization Actually Means in NC

Way back in the 1970s, North Carolina decided to treat having a very small amount of weed less seriously. The law says that having up to 0.5 ounces of marijuana is a Class 3 misdemeanor.

What does that mean for you? It means you probably won’t go to jail for your first offense. However, you can still get a fine of up to $200, and most importantly, it will go on your criminal record. It is a crime, not just a simple ticket.

What Happens if You Possess More?

The penalties get much worse if you are caught with more than that small amount. The risks become very serious, very quickly.

Here is a simple list of the penalties:

  • 0.5 to 1.5 ounces: This is a Class 1 misdemeanor. It’s a more serious crime that can include jail time and a bigger fine.
  • More than 1.5 ounces: Now you are looking at a felony. This is a very serious charge that can mean prison time and thousands of dollars in fines.

Also, it’s very important to know that selling or growing any amount of marijuana is a felony in North Carolina.

Medical Cannabis

When it comes to medical marijuana, the situation in North Carolina is unique and has seen some huge changes recently. There are now two very different systems at play.

The State’s Extremely Limited Law

First, there is the official state law. Back in 2014, North Carolina passed a law that allows some patients to use CBD oil that has less than 0.9% THC.

But this is not a real medical marijuana program. It is only for patients who have severe epilepsy that can’t be treated by other means. You have to get a recommendation from a special doctor, and there are no state-licensed stores (dispensaries) to buy from. This limited approach is a key part of the story of cannabis in North Carolina.

The EBCI’s Medical Cannabis Program

Now for the really big news. The Eastern Band of Cherokee Indians (EBCI) has opened the first-ever medical cannabis dispensary in North Carolina on their land, called the Qualla Boundary.

This is a game-changer. Any North Carolina resident who is 21 or older can apply for a medical patient card from the EBCI. If you get a card, you can legally buy cannabis at their dispensary.

But here is the most important part: the dispensary is on tribal land, where it is legal. The moment you drive off that land with your purchase, you are technically breaking North Carolina state law. The risk of getting arrested is real, so you have to be very careful.

How Does This Compare to a True State-Wide Medical Program?

The new dispensary is exciting, but North Carolina’s situation is still very different from states with real, state-wide medical marijuana programs.

What North Carolinians Are Missing Out On

When you look at other states, you can see what a complete medical program offers patients. These programs give people a lot more safety and access.

In states with full medical programs, patients get:

  • Legal protection across the entire state, so they don’t have to worry about getting arrested.
  • Many safe, regulated dispensaries where they can buy lab-tested products.
  • A long list of health conditions that qualify for a card.
  • A wide variety of products to choose from.

In those states, getting a medical marijuana card is often a simple online process that gives patients peace of mind and legal access to care.

A Note on How It Works Elsewhere: In states with modern programs, getting a medical card is often very easy. For example, at HealifyNowMMJCards, you can get approved for your medical card online in minutes. They offer a hassle-free experience to help you begin your application and access the care you need quickly!

The Importance of Product Knowledge

When you have a choice of products, it helps to know what you’re buying. Different types of cannabis can have different effects.

Having access to a wide selection makes it important for patients to learn about different cannabis strains and their potential effects to find what works best for them.

To make things even more confusing, you can find other cannabis-like products all over North Carolina. Thanks to a federal law, products made from hemp are legal.

This means you can legally buy CBD products that have less than 0.3% THC. It has also led to a huge market for products like Delta-8 THC. These products can get you high, but they exist in a legal gray area that lawmakers are trying to figure out right now.

Staying Prepared and Looking to the Future

The rules for cannabis in North Carolina are clearly changing. It’s a good idea to stay informed about what might happen next.

What’s Next?

Lawmakers in North Carolina have been debating a state-wide medical marijuana bill for years. It hasn’t passed yet, but it gets closer every year.

Staying Organized

In states with established programs, patients often use a secure patient portal to manage their medical information and renewal dates. A system like this provides organization and simplicity for patients on their wellness journey.

Conclusion

So, here’s the bottom line. Marijuana is illegal in North Carolina, but having a very small amount is decriminalized, which still means a fine and a criminal record. There is no state-wide medical program, but the new EBCI dispensary offers a new option for patients, even though it comes with legal risks.The landscape for cannabis in North Carolina is changing, but for now, knowing the law is the only way to stay safe.

Dr. Bryan Green
Dr. Bryan Green
Dr. Bryan Green is a board-certified neurologist and author specializing in neurological disorders. With a medical degree and extensive clinical experience, he writes about the intersection of neuroscience and therapeutic interventions, including the use of medical cannabis for conditions like epilepsy, multiple sclerosis, and Parkinson’s disease. His work aims to educate patients and professionals on evidence-based treatments for seizures, spasticity, and neuropathic pain. Dr. Green’s publications blend medical expertise with accessible insights, drawing from his practice in states where cannabis is a legal treatment option.
Dr. Bryan Green

Dr. Bryan Green

Author

Dr. Bryan Green is a board-certified neurologist and author specializing in neurological disorders. With a medical degree and extensive clinical experience, he writes about the intersection of neuroscience and therapeutic interventions, including the use of medical cannabis for conditions like epilepsy, multiple sclerosis, and Parkinson’s disease. His work aims to educate patients and professionals on evidence-based treatments for seizures, spasticity, and neuropathic pain. Dr. Green’s publications blend medical expertise with accessible insights, drawing from his practice in states where cannabis is a legal treatment option.

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