Cannabis legalization largely stalled out in 2024 amid cross-chamber disagreements in state legislatures and ballot measure letdowns on Election Day. Despite this, multiple states are on the cusp of expected cannabis reform.

This list includes eight states that may finally budge on medical cannabis reform, such as South Carolina and Kansas, and four that could transition to adult-use legalization, including Pennsylvania, New Hampshire, Hawaii and Virginia (sales).

Notably, none of these 12 states provide statewide citizen-initiated ballot measures, leaving reform measures up to elected officials to align policies with the will of their electorates. However, the appetite for reform is largely growing among lawmakers across both aisles throughout the nation.

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