CBD Oil Only (2015)

Current Status

In July 2014, North Carolina enacted HB 1220, known as North Carolina Epilepsy Alternative Treatment Act, creating a pilot program that allows medical use of CBD-rich oil only for registered patients diagnosed by a neurologist at one of four universities as having intractable epilepsy that has not been responsive to at least three other treatment options. Access is to be only through a registered caregiver who must be a parent, guardian, or legal custodian and who must obtain the CBD oil in a state with reciprocity to purchase medical cannabis products. Most medical cannabis jurisdictions that honor reciprocity for other state registration cards do not allow patients/caregivers from out of state to purchase any medical cannabis products. The CBD-rich oil must contain at least 10% CBD, no more than 0.3% THC, and must have no other psychoactive components.

In July of 2015 House Bill 766 was signed by Gov. McCrory amending HB1220 to expand qualified physicians to include any doctor board certified in neurology and affiliated with any state-licensed hospital. The bill also changed the required THC/CBD percentages for medical cannabis from greater than 10% CBD and less than .3% THC to greater than 5% CBD and less than 0.9% THC.

There were also changes to enhance patient privacy as well as the addition of a sunset clause, ending the medical cannabis program in 2021 if studies fail to show therapeutic relief from CBD.

Medical Marijuana

Qualifying Patients

  • Must be diagnosed with epilepsy that does not respond to three or more treatment options
  • Must be under the care of a state-licensed neurologist
  • Must have a registered caregiver
  • May only possess lab-certified cannabis extracts that do not produce a psychoactive effect

Patient Caregivers

  • Must be at least 18 years old
  • Must be a resident of North Carolina
  • Must be a parent, legal guardian or custodian of a person with intractable epilepsy
  • Must submit a Caregiver Registration Application

Recommending Clinicians

  • Must be board certified in Neurology
  • Must be licensed to practice medicine in North Carolina
  • Must be affiliated with the neurology department at one or more state-licensed hospitals
  • Must have recommended three or more treatment options that the patient did not respond to
  • Must provide a written statement supporting the recommendation of hemp extract



No Legal Protection



No Legal Protection

To become a medical cannabis patient in North Carolina, a person must be diagnosed by a neurologist with intractable epilepsy.

Important Cannabis Laws

HB 1220 : Epilepsy Alternative Treatment Act

HB 766 : Amendment to Epilepsy Alternative Treatment Act

North Carolina Department of Health and Human Services