Twenty six states, plus the District of Columbia and Guam, have passed statutes enacting comprehensive public medical marijuana and cannabis programs. In most states, medical marijuana patients must see a physician, then apply to the state program, pay a fee, and receive a medical marijuana ID card that enables them to purchase marijuana products at sanctioned dispensaries. The states shaded on the map below, as indicated in the key, have decriminalized medical marijuana to some degree, but many still afford employers wide discretion over how to handle marijuana usage among employees. Some states have statutes prohibiting adverse employer actions and discrimination against medical marijuana card holders. Some states require accommodation for employees who use medical marijuana, but no states require employers to accommodate on-duty use. Review the map below to determine the general statutes in your state(s) regarding medical marijuana.