Ohio operates the Ohio Medical Marijuana Control Program, administered by Division of Cannabis Control, Ohio Department of Commerce.
Ohio's program came from the legislature rather than the ballot box, and it came quickly. After a sweeping 2015 ballot measure was rejected by voters — largely because it would have granted cultivation rights to a fixed set of named investors — the General Assembly passed House Bill 523 in 2016 to pre-empt a second initiative. The resulting program was administered jointly by three agencies, an arrangement that drew persistent criticism for slow rollout and fragmented accountability. Sales began in January 2019. Ohio consolidated oversight under a single Division of Cannabis Control following the passage of Issue 2 in November 2023, which legalised adult use. Ohio does not permit patient home cultivation under the medical program, a distinction that separates it sharply from neighbouring Michigan.
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