New Hampshire

Program resources

• New Hampshire Therapeutic Cannabis Program Website

Regulatory framework

New Hampshire regulates therapeutic cannabis under Revised Statutes Annotated (RSA) 126-X. The entire program is managed, audited, and overseen by the New Hampshire Department of Health and Human Services (DHHS). Adult-use production, home cultivation, and open retail sales remain prohibited under state law.

Alternative treatment center model

New Hampshire structures its therapeutic market through registered nonprofit entities called Alternative Treatment Centers (ATCs). The state places a statutory cap on the number of operating ATCs within its regional footprint.

Certified ATCs may cultivate, prepare, manufacture, transfer, and dispense therapeutic cannabis directly to qualifying patients and registered caregivers. Each ATC may operate a second separate secure facility dedicated to production and cultivation.

Cultivation requirements

All cultivation must take place in strictly indoor, secure environments. Auxiliary cultivation canopy zones within the state tracking system are subject to a maximum of 500 square feet of canopy area.

Patient registry and processing timelines

To obtain a New Hampshire Registry Identification Card, patients must have a written clinical certification from an authorized physician or Advanced Practice Registered Nurse (APRN). The certification must come from a provider-patient relationship of at least three consecutive months.

Application review: 15 days

DHHS has a maximum of 15 calendar days from the date of receipt to approve or deny a completed registry application.

Card issuance: 5 business days

Once approved, the department must issue the physical registry identification card within 5 business days.

Card validity: 1 year

Registry identification cards are valid for one year from the date of issuance and must be renewed annually to maintain legal therapeutic compliance.