Conditions · Washington, D.C.

Does cancer qualify for a medical card in Washington, D.C.?

Very likely. Washington, D.C. doesn't limit certification to a fixed list — providers can recommend cannabis for conditions they believe it will help. That includes patients with cancer when the provider agrees it's appropriate.

Yes. DC has no qualifying-condition list, practitioners decide when cannabis is appropriate, and adults 21+ can self-certify.

About cancer

Cancer and its treatment — chemotherapy, radiation, surgery — can cause pain, nausea, vomiting, appetite loss and trouble sleeping.

Stronger evidence. The National Academies found conclusive evidence that oral cannabinoids prevent and treat chemotherapy-induced nausea and vomiting. There is not enough evidence that cannabis treats or cures cancer.

Symptoms Washington, D.C. patients most often hope to ease:

  • Nausea and vomiting from chemotherapy
  • Loss of appetite and unwanted weight loss
  • Cancer-related pain
  • Burning or tingling nerve pain from chemotherapy
  • Trouble sleeping
Before you start. CBD can affect liver enzymes that process some chemotherapy and targeted drugs, so your oncology team must know about any cannabis you use. A few small studies have raised questions about whether cannabis use may affect how well immunotherapy works, which is worth discussing with your oncologist.

Read more: medical marijuana for cancer.

How to get certified in Washington, D.C.

  1. If you are 21 or older, decide to self-certify; if you are 20 or younger, get an eight-digit recommendation number from a DC-licensed physician, PA, APRN, dentist or naturopathic physician.
  2. Create an account on ABCA's customer portal.
  3. Upload a DC REAL ID, or a government photo ID plus proof of DC residency.
  4. Add a caregiver if needed (required for minors) and, if eligible, income proof for discounted products.
  5. Submit the application to receive a 90-day temporary digital registration you can use right away.
  6. After staff review, receive your two-year digital registration; order a $10 physical card if you want one.

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

Costs and timeline

  • State fee: Free (fees currently waived; $10 for a physical card) ($25 standard reduced fee for Medicaid/DC Alliance recipients or households at or below 200% of the Federal Poverty Level (registration fees are currently waived for residents))
  • Card lasts: 2 years for DC residents; 3 to 365 days for non-residents
  • Processing: Residents receive a 90-day temporary digital registration immediately on submitting; the 2-year registration follows staff review
  • Patient limit: 8 oz
  • Home grow: Not allowed
  • Recreational sales: Legal for adults 21+
  • First visit online: Yes

See the full Washington, D.C. cost breakdown and Washington, D.C. program overview.

Cancer in nearby states

Frequently asked questions

Do I need medical records for cancer?

Helpful records include: pathology or imaging reports confirming your cancer diagnosis; recent notes from your oncologist describing your stage and current treatment plan; a full list of medicines, including chemotherapy, anti-nausea drugs, pain medicines and blood thinners. Many patients are still evaluated on their history alone, and your Washington, D.C. provider will tell you if more is needed.

How long does certification take in Washington, D.C.?

The provider visit takes about 15 minutes. Residents receive a 90-day temporary digital registration immediately on submitting; the 2-year registration follows staff review.

Can I renew online in Washington, D.C.?

In most cases, yes. Renew through the ABCA portal. If you renew within 30 days of expiration you keep the same registration number; otherwise it is treated as a new registration with a new number.

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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