The initiative extends the amount of time that medical cannabis patient and caregiver ID cards are valid from one to three years while keeping that cost low ($25).  By comparison, most other states charge application fees three or four times higher, with some requiring multiple physician certifications in a single calendar year.

Similarly, the $100 fee for Missourians who opt to cultivate cannabis at home will be reduced in half, with the expiration period also extended from one to three years. The proposal would also extend reciprocity to out-of-state residents with valid medical cannabis cards.