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Limited — CBD/Low-THC OnlyNorth America

North Carolina

North Carolina permits patients with intractable epilepsy to possess and use CBD extract containing less than 0.9% THC and at least 5% CBD under the Epilepsy Alternative Treatment Act (2014, amended 2015 via HB 766). Patients must register with the NC Department of Health and Human Services. The program has no in-state production or dispensary infrastructure. Governor Josh Stein established a bipartisan Cannabis Advisory Council in 2025, tasked with delivering comprehensive policy recommendations by March 2026, potentially paving the way for broader medical or recreational legalization. The NC Compassionate Care Act (H1011) was filed in the 2025-26 session but has not advanced. Hemp-derived CBD products are broadly available under the 2018 Farm Bill, though law enforcement has cited difficulties distinguishing hemp from cannabis.

Ask the Expert about North Carolina
Regulator
North Carolina Department of Health and Human Services
Key Legislation
N.C. Gen. Stat. § 90-113.101 et seq.
Year Legalized
2014
Program Size
N/A

Key Facts

  • CBD extract limited to less than 0.9% THC and at least 5% CBD for intractable epilepsy only
  • No in-state production or dispensary infrastructure exists
  • Governor's Cannabis Advisory Council established in 2025 to recommend comprehensive policy by March 2026
  • NC Compassionate Care Act (H1011) filed in 2025-26 session but has not advanced
  • Hemp-derived CBD broadly available but law enforcement reports difficulty distinguishing from illegal cannabis

Key Legislation

N.C. Gen. Stat. § 90-113.101 et seq. (Epilepsy Alternative Treatment Act, 2014; amended HB 766, 2015)

Regulatory Body

North Carolina Department of Health and Human Services (DHHS)

Country Info
ISO Code
US
Region
North America
Tier
Tier 3 — Restricted
Status
Limited — CBD/Low-THC Only
Sources
NC DHHS — Epilepsy Alternative Treatment ActNC General Assembly — Epilepsy Alternative Treatment ActMarijuana Policy Project — North Carolina Overview
Disclaimer: This information is for general reference only and does not constitute legal advice. Cannabis regulations change frequently. Always verify with official sources and local legal counsel before making compliance decisions.