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Terminal Illness and cannabis in Michigan

The state currently does not list this condition as qualifying, and the program does not provide open-ended physician discretion to add conditions. Verify with the state regulator, because programs change.

Not on the qualifying list
✗ No
LEGAL
2.5 oz usable cannabis;…
POSSESSION
$40/yr
STATE FEE
7–21 d
TIMELINE
Not on the qualifying list. The state currently does not list this condition as qualifying, and the program does not provide open-ended physician discretion to add conditions. Verify with the state regulator, because programs change.

Michigan statute and program

The Michigan Medical Marihuana Program is the operating authority for Michigan patient certification. The authoritative legal text is: Michigan Regulation and Taxation of Marihuana Act (MRTMA, 2018). The program portal is at Michigan Medical Marihuana Program.

What the evidence says about cannabis and Terminal Illness

Terminal illness is a clinical designation for a disease or condition expected to result in death within a defined prognosis window. Most state hospice and end-of-life provisions use a six-month or twelve-month survival expectancy threshold, certified by the treating physician. Common diagnoses in this category include advanced cancer, end-stage organ failure (heart, lung, liver, kidney), late-stage neurodegenerative disease, and amyotrophic lateral sclerosis (ALS).

For the full evidence base, including the NASEM tier, randomized trial summaries, and symptom-domain breakdown, read the mmjnow Terminal Illness page.

How to qualify in Michigan

The Michigan Medical Marihuana Program requires the following registration steps for a Terminal Illness patient (or any qualifying diagnosis):

  1. Get a written certification from a Michigan-licensed physician. Any Michigan-licensed physician (MD or DO) may certify a patient under the Michigan Medical Marihuana Act (MMMA, Initiated Law 1 of 2008). The physician must establish a bona-fide physician-patient relationship and certify a debilitating medical condition under MCL 333.26423 (cancer, glaucoma, HIV/AIDS, hepatitis C, ALS, Crohn’s, agitation of Alzheimer’s, nail patella, cachexia, severe and chronic pain, severe nausea, seizures, severe and persistent muscle spasms, PTSD, autism spectrum, and others added by the LARA Cannabis Regulatory Agency).
  2. Apply through the Cannabis Regulatory Agency online portal. The patient creates an account in the Michigan Cannabis Regulatory Agency (CRA) Medical Marihuana Program portal, uploads the physician written certification, a Michigan driver license or state ID, and a passport-style photograph. Caregivers register separately and pass a state and federal criminal background check.
  3. Pay the $40 state registration fee. The annual Michigan medical marihuana patient registry card fee is $40 (reduced from $100 under 2018 LARA rules). Veterans receiving health benefits through the VA, Medicaid recipients, and recipients of SSI or food assistance pay a reduced fee of $25. Caregivers pay $40 with the background check fee separate.
  4. Receive the card and purchase from a Michigan provisioning center. Michigan medical marihuana patient registry cards are issued within roughly 15 business days of complete application. With the card, patients may purchase up to 2.5 ounces every 14 days from any of the licensed Michigan medical provisioning centers and may cultivate up to 12 plants for personal medical use. Adult-use retail also operates statewide for adults 21+; medical patients retain lower 3% medical excise tax versus the 10% adult-use excise tax.
State registration fee
$40
Physician visit (typical)
$150–$250
Certification to card
7–21 days
Out-of-state patients
Not eligible
Minors
Eligible with caregiver

For full Michigan registration steps, fees, and reciprocity rules, see the Michigan cannabis-laws page.

ICD-10 code

A certifying physician documenting Terminal Illness for the Michigan medical cannabis program will typically record ICD-10 Z51.5 or SNOMED-CT 73062008 in the patient's record. The state registry does not itself collect ICD-10 codes in most programs, but the physician's chart is the audit trail if the certification is later reviewed.

Frequently asked questions

Does Michigan list Terminal Illness as a qualifying condition for medical cannabis?

No. Michigan's qualifying-condition list does not currently include Terminal Illness, and the state's program does not give physicians open-ended discretion to add conditions outside the list. Patients with Terminal Illness in Michigan have limited in-state pathways under the medical program as written. Options to verify and pursue include: petitioning the state regulator to add the condition (where the statute permits public petitions); consulting a physician about whether a co-occurring listed condition could support certification; or reviewing whether the state's program is undergoing legislative expansion. Michigan program rules change, so verify the current list with the regulator before drawing a final conclusion.

How do I get a Michigan medical marijuana card for Terminal Illness?

Because Michigan does not currently list Terminal Illness as a qualifying condition, a card for Terminal Illness alone may not be obtainable in-state under the program rules as written. Step one is finding a physician licensed in Michigan who is registered with Michigan Medical Marihuana Program and willing to evaluate Terminal Illness cases. Step two is collecting your records (diagnosis documentation, treatment history, and the ICD-10 code your physician will use) and bringing them to the certification visit. Step three is the physician's certification through the state registry, followed by the patient registration application, state fee, and waiting period before the card is issued. Michigan does not honor out-of-state cards, so the certification process has to originate inside the state. Verify the patient minimum age with the state program before applying. The authoritative source for the current process is the Michigan Medical Marihuana Program site at https://www.michigan.gov/cra; the state updates fees, forms, and physician registration rules periodically.

What does the evidence say about cannabis for Terminal Illness?

For Terminal Illness, evidence is described as moderate (supportive controlled studies exist but the picture is mixed). The mmjnow condition page for Terminal Illness lays out the current evidence base, including the citations underlying that evidence tier — typically the National Academies of Sciences, Engineering, and Medicine consensus reports, federal agency guidance, and peer-reviewed reviews. Evidence quality is independent of state law: a state can list a condition for which evidence is limited, and a state can decline to list a condition for which evidence is strong. Patients deciding whether to pursue medical cannabis for Terminal Illness should review the underlying evidence (linked on the condition page) and discuss expected benefit, dosing, and risk with a clinician familiar with both Terminal Illness and cannabinoid pharmacology. Cannabis is not a substitute for evidence-based first-line treatments for Terminal Illness; the evidence position above describes whether trial data supports its use, not whether it should replace standard care.

Sources

  1. Michigan Regulation and Taxation of Marihuana Act (MRTMA, 2018)accessed May 15, 2026
  2. Michigan Medical Marihuana Act (MCL 333.26421 et seq.)accessed May 15, 2026
  3. Michigan Cannabis Regulatory Agency (CRA)accessed May 15, 2026
  4. NASEM: The Health Effects of Cannabis and Cannabinoids (2017)accessed May 15, 2026
  5. NIH National Cancer Institute: End-of-Life Careaccessed May 15, 2026