Information provided is current as of December 23, 2025, and companies are encouraged to consult with legal counsel on these types of complex matters.
Maryland - State Specific Information

Maryland's journey toward cannabis legalization has been gradual but significant. Understanding this history provides context for current regulations and employer obligations.
Maryland legalized medical marijuana in 2014 through the Maryland Medical Marijuana Caregiver Program. This program established the framework for patient access to cannabis for qualifying medical conditions and set the stage for broader legalization efforts.
In 2023, Maryland voters approved Question 4, legalizing recreational cannabis use for adults. This landmark decision fundamentally changed the landscape for both consumers and employers throughout the state.
Maryland law establishes clear boundaries for legal cannabis possession and use. Understanding these limits is essential for both personal compliance and workplace policy development.
Registered medical marijuana patients enjoy similar possession limits but can possess up to 120 grams of medical cannabis. Additionally, medical patients may cultivate up to 4 cannabis plants per household.
Several critical restrictions apply to all cannabis users in Maryland:
The Maryland Cannabis Administration (MCA) serves as the primary regulatory agency overseeing cannabis operations throughout the state. Employers and individuals seeking compliance guidance should direct inquiries to this agency.
Maryland maintains its status as a "pro-employer" state, allowing businesses significant latitude in implementing drug testing programs. However, recent legal developments have introduced important nuances that employers must understand.
Maryland employers may conduct:
The state permits the following specimen types for drug testing:
Important Note: Maryland specifically prohibits breath alcohol testing.
One of the most significant recent changes affects reasonable suspicion testing. Employers can no longer rely solely on the smell of cannabis as grounds for testing. Instead, reasonable suspicion policies must be based on documented physical impairment, including:
Maryland identifies safety-sensitive positions under a "legitimate business purpose" standard. These positions warrant heightened testing protocols and include roles involving:
Employers in these sectors have broader authority to implement comprehensive testing programs.
Maryland law establishes strict privacy protections for drug testing results:
Test results may only be disclosed to individuals with a legitimate need to know, such as:
Employers must adhere to specific timelines when communicating positive results:
Public sector employment in Maryland involves specific drug testing requirements:
While Maryland state law does not explicitly protect private sector employees' off-duty cannabis use, several local jurisdictions have taken independent action.
The following jurisdictions have passed ordinances banning pre-employment or random cannabis screening for most public sector employees:
Employers operating in these jurisdictions must ensure compliance with both state and local regulations.
For detailed information on employee protections, employers should review HB 628, which provides more comprehensive guidance on cannabis-related employment rights.
While Maryland doesn't mandate specific procedures for drug-free workplace programs, the Maryland Center for Workplace Safety and Health offers recommended guidelines.
Employers should implement:
Under ยง683 Testing Procedures, the primary requirement for Maryland drug and alcohol testing programs is establishing and maintaining a clear, written policy. This policy must:
Navigating Maryland's cannabis and drug testing landscape requires careful attention to evolving regulations. Employers should:
Maryland's approach to cannabis regulation represents a balance between personal freedom and workplace safety. While the state maintains pro-employer drug testing policies, the landscape continues to evolve with local jurisdictions implementing additional protections. Employers must remain vigilant about compliance requirements, particularly regarding the shift away from odor-based reasonable suspicion and the emergence of local cannabis employment protections. Regular policy reviews and legal consultation remain essential for maintaining compliant and effective workplace drug testing programs.
Our team can help you understand state-specific requirements and develop a compliant impairment policy.
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