Medical Marijuana Card Renewal by State
How Do You Renew a Medical Marijuana Card?
Renewing a medical marijuana card usually has two parts. One is a new certification or recommendation from a licensed practitioner. The other, in states that issue one, is a renewal of the state card or registration. The term, the fee and the telehealth rules depend on your state, so find yours in the table below and check the regulator’s page.
A cell that says “Check the regulator” marks a figure we could not confirm on an official page when we last checked. Fees and terms change, so confirm any figure with the linked regulator before you rely on it.
What Does Renewal Look Like in Each State?
The table covers 24 states, starting with Florida. The last column links to our page for that state where we have one.
| State | What is renewed | Term | State fee | Telehealth | Our page |
|---|---|---|---|---|---|
| Florida | Physician certification and the OMMU ID card, which is a separate application | Card: 1 year from approval. Certification: up to 210 days | $75 per application each year, plus $2.75 for online payment | Yes, only by the physician who examined you in person | Florida medical marijuana card renewal |
| Nevada | Registry card: the Division’s renewal form, the attending provider’s signature and the expired card | 1 or 2 years, as the attending provider sets | $50 for 1 year or $100 for 2 years, the same on renewal; the Division’s FAQ says it cannot be waived (checked October 20, 2026) | Nevada law allows telehealth by a provider with a Nevada license when clinically appropriate | Nevada medical marijuana card renewal |
| California | Check the regulator | Check the regulator | Check the regulator | Check the regulator | None |
| Connecticut | Written certification by a physician, physician assistant or advanced practice registered nurse | Check the regulator | No state registration fee since July 1, 2023 | Yes, since June 13, 2023, if the other certification requirements are met | None |
| Delaware | Registry card | 1 year; 2 or 3 years may be issued | Check the regulator | Check the regulator | None |
| Georgia | Physician certification and the Medical Cannabis card from the Department of Public Health | Card: 5 years. Certification: annual, except for patients with incurable or irreversible conditions (O.C.G.A. 31-2A-18(d), as amended by SB 220) | $30 per card, plus a $3.75 payment portal fee | Check the regulator | Georgia Medical Cannabis card renewal |
| Illinois | Registry card | 1, 2 or 3 years | $50, $100 or $125 by term; reduced fees of $25, $50 or $75 are listed | Yes: the physical examination may be performed by remote means, including telemedicine | None |
| Louisiana | A clinician’s recommendation (physician, nurse practitioner or medical psychologist) | Check the regulator | No patient card or fee provision in the statute | Yes: the law says nothing prevents a clinician from recommending through telehealth | None |
| Maine | Written certification, which needs a synchronous encounter | Check the regulator | Check the regulator | Yes, by a synchronous encounter before a certification or a renewal, except that an in-person consultation is required if your provider is not your primary care provider and you have not given the provider your primary care provider’s name and contact details | None |
| Maryland | Provider certification and the MCA patient registration | Registration: 6 years. Certification: up to 1 year | No fee to register; the optional adult ID card is $25 | Check the regulator | None |
| Massachusetts | Patient status in the Program, with the provider’s certification | Annual | No fee for the registration card; $10 for a replacement | Initial certification may be by telehealth on request; for renewal, check the regulator | None |
| Michigan | Check the regulator | Check the regulator | Check the regulator | The statute sets a bona fide physician-patient relationship test and does not mention telehealth | None |
| Minnesota | Registry enrollment, with a practitioner certification dated within 90 days before the application | 3 years | Check the regulator | Check the regulator | None |
| Missouri | Patient ID card; the renewal window opens 60 days before expiry | 3 years for applications processed on or after December 8, 2022 | $28.92 for a new application or a renewal, July 1, 2026 to June 30, 2027; it may change each year | Yes, if the standard of care does not require an in-person visit (DCR FAQ; RSMo 191.1146) | Missouri medical marijuana card renewal |
| Montana | Cardholder registration | Up to 1 year from approval | $20 for a new or renewal registration | Yes, under the Board of Medical Examiners rules; no audio-only visit unless an in-person relationship came first | None |
| New Jersey | Patient ID card, digital or physical | 2 years | Digital card $0; physical card $10 | Yes, if telehealth is consistent with the standard of care (N.J.S.A. 24:6I-5.1(d)) | None |
| New York | The practitioner’s certification; registration is automatic and registry ID cards are no longer issued | Set by the practitioner; it may be under 1 year | No fee: the $50 registration fee was permanently waived | Check the regulator | None |
| Ohio | Physician recommendation and state registration; registration renewal may be submitted up to 30 days before expiry | Recommendation: up to 90 days, which the physician may renew up to three times. Registration: 1 year | $0: no activation or renewal cost | Yes: the exam may be in person or by telehealth | Ohio medical marijuana card renewal |
| Oklahoma | Patient license | 2 years for an adult license | $100 plus a $4.30 processing fee; $20 plus $2.50 for Medicaid or Medicare enrollees and 100% disabled veterans | The OMMA physicians page bars a virtual visit with a patient who is at a dispensary; check the regulator for other rules | Oklahoma medical marijuana card renewal |
| Pennsylvania | Practitioner certification and the annual ID card payment | Certification: up to 1 year. Card payment: annual | $50 a year; $0 with a fee reduction | Yes: the Department of Health says practitioners may issue certifications through synchronous interaction | None |
| Rhode Island | Registration card, renewed each year | 1 year | Check the regulator | Check the regulator | None |
| Texas | A physician’s prescription of low-THC cannabis, entered in the Compassionate Use Registry of Texas; patients do not register | Each prescription: up to a 90-day supply, with up to 4 refills of a 90-day supply | None: patients do not register or pay a state fee | Check the regulator | Texas low-THC prescription refills |
| Virginia | Written certification from a practitioner; Virginia does not require patient registration | Up to 1 year: it expires one year after issuance unless the practitioner sets an earlier date | None required: patients do not have to register or pay a card fee | Yes, with real-time interactive audiovisual technology | Renew a Virginia written certification |
| West Virginia | Medical cannabis card | Expires within 1 year of issuance | $50 processing fee, which may be waived or reduced for financial hardship | The statute’s continuing-care definition includes an in-person consultation (W. Va. Code 16A-2-1(8)) | None |
How Does Renewal Work in Florida?
Florida renewal runs on two clocks. A physician certification lasts up to 210 days, and a qualified physician must evaluate you at least once every 30 weeks before issuing a new one. Your ID card lasts one year, and the Office of Medical Marijuana Use accepts a renewal application beginning 45 days before it expires. Since July 27, 2026, the OMMU will not let you complete an application without a current or scheduled certification with open orders.
A renewal exam may be done by telehealth, but only by the physician who examined you in person. A new physician must examine you in person. This page does not list a renewal visit price. Our Florida medical marijuana card renewal page gives the steps, and our Florida medical marijuana card cost page sets out the state fee. To book an in-person visit, choose our Tampa, Fort Myers or Sarasota office. The Florida medical marijuana card guide covers the whole process.
What Happens If Your Card Expires?
Few regulators say what happens after expiry. Those that do:
- Florida: the OMMU cards page states no rule for renewing after expiry, so ask the OMMU before you let a card lapse.
- Ohio: patients must dispose of cannabis within 7 days after the registration expires.
- Missouri: the DHSS patient services page says expired ID cards “may be renewed but will remain inactive until the renewal is fully processed and approved”, and DHSS has 30 days to process an application.
- Nevada: a renewal includes returning the expired registry card or letter of approval.
For any other state, the regulator’s page in the table is the place to check.
Can You Renew an MMJ Card Online?
It depends on what you mean by online. A telehealth visit can renew the practitioner’s certification where the state allows it, and the state card or registration is a separate application made with the state. The Telehealth column shows what we confirmed. Florida, Connecticut, Illinois, Louisiana, Maine, Montana, Ohio, Pennsylvania and Virginia allow telehealth in the ways the table describes. Missouri allows it if the standard of care does not require an in-person visit. New Jersey allows it if telehealth is consistent with the standard of care. Nevada allows it by a provider with a Nevada license. In Maine, an in-person consultation is required if your provider is not your primary care provider and does not have your primary care provider’s name and contact details from you. In Florida the first exam must still be in person, and the OMMU ID card application can be made online or on paper.
Where the table says “Check the regulator,” ask the regulator before you plan a telehealth renewal.
What Else Do People Ask About Renewing?
How early can you renew?
It depends on the state. The OMMU accepts a Florida renewal application beginning 45 days before the card expires. Missouri’s renewal window opens 60 days before expiry. Ohio accepts a registration renewal up to 30 days before expiry.
Do you need a new certification to renew?
Where the certification has its own term, yes. Georgia’s certification is annual unless the patient has an incurable or irreversible condition. A Virginia written certification expires one year after issuance unless the practitioner sets an earlier date. Check the Term column for your state.
What if your state is not in the table?
The table covers the states this site writes about. For another state, contact that state’s medical marijuana program for its renewal steps.
Sources: State regulator and statute pages are linked in each row of the table. Florida: OMMU ID cards page, OMMU FAQ and s. 381.986, Florida Statutes. Missouri: fee, the DHSS fee schedule; term and renewal window, the DHSS patient FAQ and 19 CSR 100-1.040(6)(B)6; expired cards, the DHSS patient services page; telehealth, RSMo 191.1146. Nevada: fee and no waiver, the DPBH registry FAQ; fee cap, NRS 678C.840(2); term, NRS 678C.230(5); renewal, NAC 678C.130; telehealth, NRS 629.515(1) and (4). Oklahoma: term, fee and reduced fees, the OMMA Patient Licenses page, 63 O.S. 420(D) and, for veterans, OAC 442:10-2-1(e); telehealth, the OMMA Physicians page. Texas: no patient fee or registration, the DPS Compassionate Use Program patients FAQ (question 6); prescription term, Occupations Code 169.003(b). Virginia: no required fee or registration, the CCA FAQ; term, Va. Code § 4.1-1601(B); telehealth, Va. Code § 4.1-1601(A).
The facts on this page were checked against official sources, including the Florida Office of Medical Marijuana Use, the Nevada Division of Public and Behavioral Health, the Georgia Department of Public Health, the Ohio Division of Cannabis Control, the Virginia Cannabis Control Authority, the Texas Department of Public Safety and the other state regulators linked in the table, by the Dr. Green Relief editorial team. Last reviewed October 20, 2026.
Last updated October 20, 2026 by the Dr. Green Relief Editorial Team.
