Written by MAKIYA SEMINERA
North Carolina got a step closer to legalizing medical marijuana on Thursday when the state Senate gave it its initial approval.
The Senate approved a measure legalizing medical marijuana in its first of two votes, 33-9, with nine Republicans breaking from the rest of the party to oppose it. If approved a second time, the bill will go to the state House, which has historically blocked Senate attempts to legalize the drug’s medical use.
Medical cannabis products are legal in 38 states and the District of Columbia, according to the National Conference of State Legislatures. More than 20 states allow the drug to be used recreationally, too.
Legalizing medical marijuana for qualifying patients with a “debilitating medical condition” was added to a bill on Wednesday that originally focused on creating further state regulations for federally legal hemp products. Those hemp products contain a concentration of less than 0.3% of THC concentration, the compound that gives marijuana its high.
Although the hemp regulations remain in the bill, Sen. Danny Britt, a Republican from Robeson County, said on the Senate floor that adding medical marijuana was necessary to “get out in front” of an expected federal reclassification of marijuana from a Schedule I drug to a less dangerous Schedule III drug.
Sen. Bill Rabon, a Republican from Brunswick County who is one of the most vocal proponents of legalizing medical marijuana, said the bill would help sick and dying people in the state. Like in previous sessions, he recounted his own experience smoking pot while undergoing chemotherapy for colon cancer.
“With 18 months to live, I’m here 20 years later because I had a physician who told me to do this, and I did,” Rabon told Senate colleagues.

North Carolina Sen. Bill Rabon confers with House Speaker Tim Moore in the House of Representatives during debate of the proposed state budget in 2022. Rabon has sponsored bills to legalize marijuana for medicinal purposes before, but none have made it to the state House for a vote. (Photo via Robert Willett/The News & Observer and AP.)
The bill awaits its second senatorial vote on Monday. Rabon said the chamber might submit additional amendments after reviewing requests from the House.
The House hasn’t clearly indicated if it would pass the bill.
House Speaker Tim Moore said Thursday that he supports legalizing medical marijuana through a Senate measure approved last year, but has said repeatedly that it wouldn’t be considered because not enough House Republicans back the idea.
Moore didn’t know whether combining the legalization with the hemp regulation provisions would persuade additional colleagues. He said he anticipated House Republicans would privately discuss the idea next week.
Featured photo via AP Photo/Julio Cortez.
Related Stories
‹

Medical Marijuana Legalization Keeps Advancing in NC SenateA bill legalizing marijuana for medical use in North Carolina and developing a system to grow and sell it cleared two more legislative hurdles this week in the Senate. The Senate Health Care Committee voted for the measure on Thursday, two days after the judiciary committee approved an updated version compared to what it originally recommended […]

NC Medical Marijuana Bill Approved by Another Senate PanelLegislation to legalize marijuana for medical use in North Carolina advanced through another Senate panel on Wednesday. Members of the Senate Finance Committee, which voted for the legislation, narrowed their review to fees and revenues collected in the measure. They include charging cannabis customers to get special ID cards. The state’s 10 pot suppliers also […]

North Carolina Senate Backs Legalizing Pot for Medical UseWritten by GARY D. ROBERTSON The North Carolina Senate voted on Tuesday to legalize marijuana use for medical purposes, giving strong bipartisan support for the second year in a row to an idea that its supporters say would give relief to those with debilitating or life-ending illnesses. After little debate, the chamber voted 36-10 to […]

Medical Pot Proposal Gets Bipartisan Support in NC SenateWritten by GARY D. ROBERTSON Marijuana would be legalized for medical use in North Carolina with a physician’s prescription and purchased through dozens of tightly regulated dispensaries in a measure receiving initial approval Thursday in the Senate. The legislation, which received strong bipartisan support, could help people facing more than a dozen different “debilitating medical […]

North Carolina Legislature Passes ‘Iryna’s Law’ After Refugee’s Stabbing DeathIn response to the stabbing death of a Ukrainian refugee on Charlotte’s light rail system, the North Carolina legislature gave final approval Tuesday to a criminal justice package that limits bail and seeks to ensure more defendants undergo mental health evaluations.

North Carolina Governor Forms Council To Recommend Cannabis RegulationsNorth Carolina Gov. Josh Stein says a panel he's tasked with recommending cannabis sale regulations should provide the state some structure.

North Carolina Is Pursuing Its Own Restrictions Amid Trump’s Pushback Against DEIFollowing the lead of several conservative states and the president himself, North Carolina Republican lawmakers have advanced their own bills that target diversity, equity and inclusion initiatives.

Another $500M for Hurricane Helene Relief in North Carolina Passes Key HurdleAnother $500 million to be spent toward Hurricane Helene recovery efforts earned unanimous approval in the North Carolina House on Tuesday.

Rep. Robert Reives Discusses New Leadership in North Carolina's General AssemblyAs the North Carolina General Assembly started the 2025 legislative session, leadership in both chambers and parties features some new faces.

North Carolina Legislators Consider Vetoes, Constitution Changes as Work Session Winds DownThe North Carolina General Assembly raced Wednesday to advance legislation before completing its chief working session for the year
›