Adults only (18+)

Legal Status of Cannabis in North Carolina

Cannabis remains illegal in North Carolina for both recreational and medical use, with limited exceptions. The state has not legalised cannabis for general medical use, and recreational use is strictly prohibited. However, there have been recent developments indicating a potential shift in policy, particularly concerning medical cannabis.

Possession and Public Use

Possession of cannabis for recreational purposes is illegal throughout North Carolina. Possessing less than 0.5 ounces (approximately 14 grams) is classified as a Class 3 misdemeanor, punishable by a fine of up to $200. Possession of larger amounts can lead to more severe penalties, including felony charges and imprisonment, depending on the quantity involved. Public consumption of cannabis is also prohibited and can result in fines or other legal consequences.

Medical Cannabis

North Carolina does not currently have a comprehensive medical cannabis programme. However, in 2015, the state legalised the use of low-THC cannabidiol (CBD) oil for patients with intractable epilepsy. This oil must contain less than 0.9% THC and at least 5% CBD. Patients must register with the North Carolina Department of Health and Human Services to legally possess and use this specific CBD oil. There is no broader medical cannabis programme in place, and access to other cannabis-based treatments remains illegal.

Cultivation

Cultivating cannabis plants is illegal in North Carolina for any purpose, including personal use. The state does not permit individuals to grow cannabis at home, and any cultivation is subject to criminal penalties. The only exception is on tribal lands, where the Eastern Band of Cherokee Indians has legal authority to regulate cannabis cultivation and use.

Driving Under the Influence

Driving under the influence of cannabis is illegal in North Carolina. Law enforcement agencies are authorised to conduct sobriety tests, and individuals found impaired by cannabis may face fines, licence suspension, or imprisonment. The state enforces strict measures to ensure road safety and deter drug-impaired driving.

Tourists and Cannabis Laws

Tourists visiting North Carolina should be aware that cannabis is illegal for both recreational and medical use, with the exception of specific low-THC CBD oil for registered patients. Possession, use, or trafficking of cannabis can lead to arrest and prosecution. Visitors are advised to comply fully with local laws to avoid legal issues during their stay.

Public Perception and Cultural Context

Cannabis use in North Carolina remains a topic of debate. Public opinion is gradually shifting, with increasing support for medical cannabis legalisation. However, recreational use continues to face strong legal and social opposition. The state's approach to cannabis is influenced by political, cultural, and public health considerations.

Recent Developments and Future Outlook

While North Carolina has not legalised cannabis for recreational or general medical use, there have been discussions and legislative efforts aimed at reform. In 2024, the state Senate passed a medical cannabis bill, but it did not advance in the House of Representatives. Governor Josh Stein has established a State Advisory Council on Cannabis to explore potential regulatory frameworks and policy recommendations. The council is tasked with providing preliminary recommendations by March 2026, which could influence future legislative action on cannabis legalisation in the state.

In Summary

Cannabis is illegal in North Carolina for both recreational and general medical use, with limited exceptions for specific low-THC CBD oil for registered patients. Possession, use, and cultivation are prohibited and subject to penalties. Driving under the influence of cannabis is illegal. Tourists should adhere to local laws to avoid legal issues. While public opinion is shifting, significant legislative changes regarding cannabis legalisation have not yet occurred in the state.