Conditions · Massachusetts

Does ALS (Lou Gehrig's disease) qualify in Massachusetts?

Yes. The Medical Use of Marijuana Program lists Amyotrophic lateral sclerosis (ALS) as a qualifying condition. A Massachusetts-licensed provider still has to evaluate you and agree that cannabis is appropriate.

About ALS (Lou Gehrig's disease)

A progressive disease that destroys the nerve cells controlling muscles, causing weakness, cramps and trouble swallowing.

Not enough research. Research is limited to small studies. Patients mainly use cannabis for cramps, spasticity, appetite, drooling and sleep.

Symptoms Massachusetts patients most often hope to ease:

  • Painful muscle cramps and twitching
  • Stiffness and spasticity in the arms and legs
  • Loss of appetite and unwanted weight loss
  • Trouble falling or staying asleep
  • Excess saliva and drooling
Before you start. Sedating effects can add to breathing weakness, so tell your doctor about any breathing problems, sleep apnea or use of a breathing machine. Smoking or vaping can irritate the airways and is generally avoided when lung function is reduced.

Read more: medical marijuana for ALS (Lou Gehrig's disease).

How to get certified in Massachusetts

  1. Visit a Certifying Health Care Provider registered with the CCC to be evaluated and certified.
  2. Watch for an email with a four-digit PIN after the provider certifies you.
  3. Gather your government ID and a recent Massachusetts proof of residency.
  4. Complete your registration in the Medical Use of Marijuana Online System and upload your documents.
  5. Print your temporary card once approved; the permanent card arrives by mail in about two weeks.
  6. Carry your registration card whenever you carry medical marijuana.

Massachusetts allows the evaluation by telehealth, so you can see a Massachusetts-licensed provider by video. Our evaluation starts at $79 and is charged only if you're approved.

Costs and timeline

  • State fee: No registration fee ($10 replacement-card fee can be waived for financial hardship)
  • Card lasts: 1 year
  • Processing: Card mailed about two weeks after approval; a temporary card can be printed once approved
  • Patient limit: 60-day supply (10 oz) unless the provider certifies a larger amount
  • Home grow: Registered patients may grow enough for a 60-day supply (10 oz); under adult-use law, 6 plants per adult and up to 12 per household
  • Recreational sales: Legal for adults 21+
  • First visit online: Yes

See the full Massachusetts cost breakdown and Massachusetts program overview.

Other qualifying conditions in Massachusetts

ALS (Lou Gehrig's disease) in nearby states

Frequently asked questions

Do I need medical records for ALS (Lou Gehrig's disease)?

Helpful records include: a diagnosis letter or clinic notes from your neurologist or ALS clinic confirming ALS; a current list of all your medicines, including riluzole, edaravone, muscle relaxants and sleep aids; recent notes on breathing tests and swallowing assessments, if you have them. Many patients are still evaluated on their history alone, and your Massachusetts provider will tell you if more is needed.

How long does certification take in Massachusetts?

The provider visit takes about 15 minutes. Card mailed about two weeks after approval; a temporary card can be printed once approved.

Can I renew online in Massachusetts?

In most cases, yes. Patients renew every year online and need a fresh certification from their provider, which can be done by telehealth. There is no state renewal fee.

Sources

This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.

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