104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3498 Introduced , by Rep. Rita Mayfield SYNOPSIS AS INTRODUCED: 410 ILCS 130/10410 ILCS 705/10-5 Amends the Compassionate Use of Medical Cannabis Program Act. Changes the definition of "designated caregiver" to remove a requirement that the caregiver not have been convicted of an excluded offense and to raise the maximum number of patients that can be assisted to 10 patients. Amends the Cannabis Regulation and Tax Act. In provisions regarding the personal use of cannabis, provides that a dwelling, residence, apartment, condominium unit, enclosed, locked space, or piece of property not divided into multiple dwelling units shall not contain more than 12 plants (rather than 5 plants). LRB104 09660 BDA 19726 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3498 Introduced , by Rep. Rita Mayfield SYNOPSIS AS INTRODUCED: 410 ILCS 130/10410 ILCS 705/10-5 410 ILCS 130/10 410 ILCS 705/10-5 Amends the Compassionate Use of Medical Cannabis Program Act. Changes the definition of "designated caregiver" to remove a requirement that the caregiver not have been convicted of an excluded offense and to raise the maximum number of patients that can be assisted to 10 patients. Amends the Cannabis Regulation and Tax Act. In provisions regarding the personal use of cannabis, provides that a dwelling, residence, apartment, condominium unit, enclosed, locked space, or piece of property not divided into multiple dwelling units shall not contain more than 12 plants (rather than 5 plants). LRB104 09660 BDA 19726 b LRB104 09660 BDA 19726 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3498 Introduced , by Rep. Rita Mayfield SYNOPSIS AS INTRODUCED: 410 ILCS 130/10410 ILCS 705/10-5 410 ILCS 130/10 410 ILCS 705/10-5 410 ILCS 130/10 410 ILCS 705/10-5 Amends the Compassionate Use of Medical Cannabis Program Act. Changes the definition of "designated caregiver" to remove a requirement that the caregiver not have been convicted of an excluded offense and to raise the maximum number of patients that can be assisted to 10 patients. Amends the Cannabis Regulation and Tax Act. In provisions regarding the personal use of cannabis, provides that a dwelling, residence, apartment, condominium unit, enclosed, locked space, or piece of property not divided into multiple dwelling units shall not contain more than 12 plants (rather than 5 plants). LRB104 09660 BDA 19726 b LRB104 09660 BDA 19726 b LRB104 09660 BDA 19726 b A BILL FOR HB3498LRB104 09660 BDA 19726 b HB3498 LRB104 09660 BDA 19726 b HB3498 LRB104 09660 BDA 19726 b 1 AN ACT concerning health. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Compassionate Use of Medical Cannabis 5 Program Act is amended by changing Section 10 as follows: 6 (410 ILCS 130/10) 7 Sec. 10. Definitions. The following terms, as used in this 8 Act, shall have the meanings set forth in this Section: 9 (a) "Adequate supply" means: 10 (1) 2.5 ounces of usable cannabis during a period of 11 14 days and that is derived solely from an intrastate 12 source. 13 (2) Subject to the rules of the Department of Public 14 Health, a patient may apply for a waiver where a 15 certifying health care professional provides a substantial 16 medical basis in a signed, written statement asserting 17 that, based on the patient's medical history, in the 18 certifying health care professional's professional 19 judgment, 2.5 ounces is an insufficient adequate supply 20 for a 14-day period to properly alleviate the patient's 21 debilitating medical condition or symptoms associated with 22 the debilitating medical condition. 23 (3) This subsection may not be construed to authorize 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3498 Introduced , by Rep. Rita Mayfield SYNOPSIS AS INTRODUCED: 410 ILCS 130/10410 ILCS 705/10-5 410 ILCS 130/10 410 ILCS 705/10-5 410 ILCS 130/10 410 ILCS 705/10-5 Amends the Compassionate Use of Medical Cannabis Program Act. Changes the definition of "designated caregiver" to remove a requirement that the caregiver not have been convicted of an excluded offense and to raise the maximum number of patients that can be assisted to 10 patients. Amends the Cannabis Regulation and Tax Act. In provisions regarding the personal use of cannabis, provides that a dwelling, residence, apartment, condominium unit, enclosed, locked space, or piece of property not divided into multiple dwelling units shall not contain more than 12 plants (rather than 5 plants). LRB104 09660 BDA 19726 b LRB104 09660 BDA 19726 b LRB104 09660 BDA 19726 b A BILL FOR 410 ILCS 130/10 410 ILCS 705/10-5 LRB104 09660 BDA 19726 b HB3498 LRB104 09660 BDA 19726 b HB3498- 2 -LRB104 09660 BDA 19726 b HB3498 - 2 - LRB104 09660 BDA 19726 b HB3498 - 2 - LRB104 09660 BDA 19726 b 1 the possession of more than 2.5 ounces at any time without 2 authority from the Department of Public Health. 3 (4) The pre-mixed weight of medical cannabis used in 4 making a cannabis infused product shall apply toward the 5 limit on the total amount of medical cannabis a registered 6 qualifying patient may possess at any one time. 7 (a-5) "Advanced practice registered nurse" means a person 8 who is licensed under the Nurse Practice Act as an advanced 9 practice registered nurse and has a controlled substances 10 license under Article III of the Illinois Controlled 11 Substances Act. 12 (b) "Cannabis" has the meaning given that term in Section 13 3 of the Cannabis Control Act. 14 (c) "Cannabis plant monitoring system" means a system that 15 includes, but is not limited to, testing and data collection 16 established and maintained by the registered cultivation 17 center and available to the Department for the purposes of 18 documenting each cannabis plant and for monitoring plant 19 development throughout the life cycle of a cannabis plant 20 cultivated for the intended use by a qualifying patient from 21 seed planting to final packaging. 22 (d) "Cardholder" means a qualifying patient or a 23 designated caregiver who has been issued and possesses a valid 24 registry identification card by the Department of Public 25 Health. 26 (d-5) "Certifying health care professional" means a HB3498 - 2 - LRB104 09660 BDA 19726 b HB3498- 3 -LRB104 09660 BDA 19726 b HB3498 - 3 - LRB104 09660 BDA 19726 b HB3498 - 3 - LRB104 09660 BDA 19726 b 1 physician, an advanced practice registered nurse, or a 2 physician assistant. 3 (e) "Cultivation center" means a facility operated by an 4 organization or business that is registered by the Department 5 of Agriculture to perform necessary activities to provide only 6 registered medical cannabis dispensing organizations with 7 usable medical cannabis. 8 (f) "Cultivation center agent" means a principal officer, 9 board member, employee, or agent of a registered cultivation 10 center who is 21 years of age or older and has not been 11 convicted of an excluded offense. 12 (g) "Cultivation center agent identification card" means a 13 document issued by the Department of Agriculture that 14 identifies a person as a cultivation center agent. 15 (h) "Debilitating medical condition" means one or more of 16 the following: 17 (1) cancer, glaucoma, positive status for human 18 immunodeficiency virus, acquired immune deficiency 19 syndrome, hepatitis C, amyotrophic lateral sclerosis, 20 Crohn's disease (including, but not limited to, ulcerative 21 colitis), agitation of Alzheimer's disease, 22 cachexia/wasting syndrome, muscular dystrophy, severe 23 fibromyalgia, spinal cord disease, including but not 24 limited to arachnoiditis, Tarlov cysts, hydromyelia, 25 syringomyelia, Rheumatoid arthritis, fibrous dysplasia, 26 spinal cord injury, traumatic brain injury and HB3498 - 3 - LRB104 09660 BDA 19726 b HB3498- 4 -LRB104 09660 BDA 19726 b HB3498 - 4 - LRB104 09660 BDA 19726 b HB3498 - 4 - LRB104 09660 BDA 19726 b 1 post-concussion syndrome, Multiple Sclerosis, 2 Arnold-Chiari malformation and Syringomyelia, 3 Spinocerebellar Ataxia (SCA), Parkinson's, Tourette's, 4 Myoclonus, Dystonia, Reflex Sympathetic Dystrophy, RSD 5 (Complex Regional Pain Syndromes Type I), Causalgia, CRPS 6 (Complex Regional Pain Syndromes Type II), 7 Neurofibromatosis, Chronic Inflammatory Demyelinating 8 Polyneuropathy, Sjogren's syndrome, Lupus, Interstitial 9 Cystitis, Myasthenia Gravis, Hydrocephalus, nail-patella 10 syndrome, residual limb pain, seizures (including those 11 characteristic of epilepsy), post-traumatic stress 12 disorder (PTSD), autism, chronic pain, irritable bowel 13 syndrome, migraines, osteoarthritis, anorexia nervosa, 14 Ehlers-Danlos Syndrome, Neuro-Behcet's Autoimmune 15 Disease, neuropathy, polycystic kidney disease, superior 16 canal dehiscence syndrome, or the treatment of these 17 conditions; 18 (1.5) terminal illness with a diagnosis of 6 months or 19 less; if the terminal illness is not one of the qualifying 20 debilitating medical conditions, then the certifying 21 health care professional shall on the certification form 22 identify the cause of the terminal illness; or 23 (2) any other debilitating medical condition or its 24 treatment that is added by the Department of Public Health 25 by rule as provided in Section 45. 26 (i) "Designated caregiver" means a person who: (1) is at HB3498 - 4 - LRB104 09660 BDA 19726 b HB3498- 5 -LRB104 09660 BDA 19726 b HB3498 - 5 - LRB104 09660 BDA 19726 b HB3498 - 5 - LRB104 09660 BDA 19726 b 1 least 21 years of age; (2) has agreed to assist with a 2 patient's medical use of cannabis; (3) has not been convicted 3 of an excluded offense; and (3) (4) assists no more than 10 one 4 registered qualifying patients patient with his or her medical 5 use of cannabis. 6 (j) "Dispensing organization agent identification card" 7 means a document issued by the Department of Financial and 8 Professional Regulation that identifies a person as a medical 9 cannabis dispensing organization agent. 10 (k) "Enclosed, locked facility" means a room, greenhouse, 11 building, or other enclosed area equipped with locks or other 12 security devices that permit access only by a cultivation 13 center's agents or a dispensing organization's agent working 14 for the registered cultivation center or the registered 15 dispensing organization to cultivate, store, and distribute 16 cannabis for registered qualifying patients. 17 (l) "Excluded offense" for cultivation center agents and 18 dispensing organizations means: 19 (1) a violent crime defined in Section 3 of the Rights 20 of Crime Victims and Witnesses Act or a substantially 21 similar offense that was classified as a felony in the 22 jurisdiction where the person was convicted; or 23 (2) a violation of a state or federal controlled 24 substance law, the Cannabis Control Act, or the 25 Methamphetamine Control and Community Protection Act that 26 was classified as a felony in the jurisdiction where the HB3498 - 5 - LRB104 09660 BDA 19726 b HB3498- 6 -LRB104 09660 BDA 19726 b HB3498 - 6 - LRB104 09660 BDA 19726 b HB3498 - 6 - LRB104 09660 BDA 19726 b 1 person was convicted, except that the registering 2 Department may waive this restriction if the person 3 demonstrates to the registering Department's satisfaction 4 that his or her conviction was for the possession, 5 cultivation, transfer, or delivery of a reasonable amount 6 of cannabis intended for medical use. This exception does 7 not apply if the conviction was under state law and 8 involved a violation of an existing medical cannabis law. 9 For purposes of this subsection, the Department of Public 10 Health shall determine by emergency rule within 30 days after 11 the effective date of this amendatory Act of the 99th General 12 Assembly what constitutes a "reasonable amount". 13 (l-5) (Blank). 14 (l-10) "Illinois Cannabis Tracking System" means a 15 web-based system established and maintained by the Department 16 of Public Health that is available to the Department of 17 Agriculture, the Department of Financial and Professional 18 Regulation, the Illinois State Police, and registered medical 19 cannabis dispensing organizations on a 24-hour basis to upload 20 written certifications for Opioid Alternative Pilot Program 21 participants, to verify Opioid Alternative Pilot Program 22 participants, to verify Opioid Alternative Pilot Program 23 participants' available cannabis allotment and assigned 24 dispensary, and the tracking of the date of sale, amount, and 25 price of medical cannabis purchased by an Opioid Alternative 26 Pilot Program participant. HB3498 - 6 - LRB104 09660 BDA 19726 b HB3498- 7 -LRB104 09660 BDA 19726 b HB3498 - 7 - LRB104 09660 BDA 19726 b HB3498 - 7 - LRB104 09660 BDA 19726 b 1 (m) "Medical cannabis cultivation center registration" 2 means a registration issued by the Department of Agriculture. 3 (n) "Medical cannabis container" means a sealed, 4 traceable, food compliant, tamper resistant, tamper evident 5 container, or package used for the purpose of containment of 6 medical cannabis from a cultivation center to a dispensing 7 organization. 8 (o) "Medical cannabis dispensing organization", or 9 "dispensing organization", or "dispensary organization" means 10 a facility operated by an organization or business that is 11 registered by the Department of Financial and Professional 12 Regulation to acquire medical cannabis from a registered 13 cultivation center for the purpose of dispensing cannabis, 14 paraphernalia, or related supplies and educational materials 15 to registered qualifying patients, individuals with a 16 provisional registration for qualifying patient cardholder 17 status, or an Opioid Alternative Pilot Program participant. 18 (p) "Medical cannabis dispensing organization agent" or 19 "dispensing organization agent" means a principal officer, 20 board member, employee, or agent of a registered medical 21 cannabis dispensing organization who is 21 years of age or 22 older and has not been convicted of an excluded offense. 23 (q) "Medical cannabis infused product" means food, oils, 24 ointments, or other products containing usable cannabis that 25 are not smoked. 26 (r) "Medical use" means the acquisition; administration; HB3498 - 7 - LRB104 09660 BDA 19726 b HB3498- 8 -LRB104 09660 BDA 19726 b HB3498 - 8 - LRB104 09660 BDA 19726 b HB3498 - 8 - LRB104 09660 BDA 19726 b 1 delivery; possession; transfer; transportation; or use of 2 cannabis to treat or alleviate a registered qualifying 3 patient's debilitating medical condition or symptoms 4 associated with the patient's debilitating medical condition. 5 (r-5) "Opioid" means a narcotic drug or substance that is 6 a Schedule II controlled substance under paragraph (1), (2), 7 (3), or (5) of subsection (b) or under subsection (c) of 8 Section 206 of the Illinois Controlled Substances Act. 9 (r-10) "Opioid Alternative Pilot Program participant" 10 means an individual who has received a valid written 11 certification to participate in the Opioid Alternative Pilot 12 Program for a medical condition for which an opioid has been or 13 could be prescribed by a certifying health care professional 14 based on generally accepted standards of care. 15 (s) "Physician" means a doctor of medicine or doctor of 16 osteopathy licensed under the Medical Practice Act of 1987 to 17 practice medicine and who has a controlled substances license 18 under Article III of the Illinois Controlled Substances Act. 19 It does not include a licensed practitioner under any other 20 Act including but not limited to the Illinois Dental Practice 21 Act. 22 (s-1) "Physician assistant" means a physician assistant 23 licensed under the Physician Assistant Practice Act of 1987 24 and who has a controlled substances license under Article III 25 of the Illinois Controlled Substances Act. 26 (s-5) "Provisional registration" means a document issued HB3498 - 8 - LRB104 09660 BDA 19726 b HB3498- 9 -LRB104 09660 BDA 19726 b HB3498 - 9 - LRB104 09660 BDA 19726 b HB3498 - 9 - LRB104 09660 BDA 19726 b 1 by the Department of Public Health to a qualifying patient who 2 has submitted: (1) an online application and paid a fee to 3 participate in Compassionate Use of Medical Cannabis Program 4 pending approval or denial of the patient's application; or 5 (2) a completed application for terminal illness. 6 (t) "Qualifying patient" means a person who has been 7 diagnosed by a certifying health care professional as having a 8 debilitating medical condition. 9 (u) "Registered" means licensed, permitted, or otherwise 10 certified by the Department of Agriculture, Department of 11 Public Health, or Department of Financial and Professional 12 Regulation. 13 (v) "Registry identification card" means a document issued 14 by the Department of Public Health that identifies a person as 15 a registered qualifying patient or registered designated 16 caregiver. 17 (w) "Usable cannabis" means the seeds, leaves, buds, and 18 flowers of the cannabis plant and any mixture or preparation 19 thereof, but does not include the stalks, and roots of the 20 plant. It does not include the weight of any non-cannabis 21 ingredients combined with cannabis, such as ingredients added 22 to prepare a topical administration, food, or drink. 23 (x) "Verification system" means a Web-based system 24 established and maintained by the Department of Public Health 25 that is available to the Department of Agriculture, the 26 Department of Financial and Professional Regulation, law HB3498 - 9 - LRB104 09660 BDA 19726 b HB3498- 10 -LRB104 09660 BDA 19726 b HB3498 - 10 - LRB104 09660 BDA 19726 b HB3498 - 10 - LRB104 09660 BDA 19726 b 1 enforcement personnel, and registered medical cannabis 2 dispensing organization agents on a 24-hour basis for the 3 verification of registry identification cards, the tracking of 4 delivery of medical cannabis to medical cannabis dispensing 5 organizations, and the tracking of the date of sale, amount, 6 and price of medical cannabis purchased by a registered 7 qualifying patient. 8 (y) "Written certification" means a document dated and 9 signed by a certifying health care professional, stating (1) 10 that the qualifying patient has a debilitating medical 11 condition and specifying the debilitating medical condition 12 the qualifying patient has; and (2) that (A) the certifying 13 health care professional is treating or managing treatment of 14 the patient's debilitating medical condition; or (B) an Opioid 15 Alternative Pilot Program participant has a medical condition 16 for which opioids have been or could be prescribed. A written 17 certification shall be made only in the course of a bona fide 18 health care professional-patient relationship, after the 19 certifying health care professional has completed an 20 assessment of either a qualifying patient's medical history or 21 Opioid Alternative Pilot Program participant, reviewed 22 relevant records related to the patient's debilitating 23 condition, and conducted a physical examination. 24 (z) "Bona fide health care professional-patient 25 relationship" means a relationship established at a hospital, 26 certifying health care professional's office, or other health HB3498 - 10 - LRB104 09660 BDA 19726 b HB3498- 11 -LRB104 09660 BDA 19726 b HB3498 - 11 - LRB104 09660 BDA 19726 b HB3498 - 11 - LRB104 09660 BDA 19726 b 1 care facility in which the certifying health care professional 2 has an ongoing responsibility for the assessment, care, and 3 treatment of a patient's debilitating medical condition or a 4 symptom of the patient's debilitating medical condition. 5 A veteran who has received treatment at a VA hospital 6 shall be deemed to have a bona fide health care 7 professional-patient relationship with a VA certifying health 8 care professional if the patient has been seen for his or her 9 debilitating medical condition at the VA Hospital in 10 accordance with VA Hospital protocols. 11 A bona fide health care professional-patient relationship 12 under this subsection is a privileged communication within the 13 meaning of Section 8-802 of the Code of Civil Procedure. 14 (Source: P.A. 100-1114, eff. 8-28-18; 101-363, eff. 8-9-19.) 15 Section 10. The Cannabis Regulation and Tax Act is amended 16 by changing Section 10-5 as follows: 17 (410 ILCS 705/10-5) 18 Sec. 10-5. Personal use of cannabis; restrictions on 19 cultivation; penalties. 20 (a) Beginning January 1, 2020, notwithstanding any other 21 provision of law, and except as otherwise provided in this 22 Act, the following acts are not a violation of this Act and 23 shall not be a criminal or civil offense under State law or the 24 ordinances of any unit of local government of this State or be HB3498 - 11 - LRB104 09660 BDA 19726 b HB3498- 12 -LRB104 09660 BDA 19726 b HB3498 - 12 - LRB104 09660 BDA 19726 b HB3498 - 12 - LRB104 09660 BDA 19726 b 1 a basis for seizure or forfeiture of assets under State law for 2 persons other than natural individuals under 21 years of age: 3 (1) possession, consumption, use, purchase, obtaining, 4 or transporting cannabis paraphernalia or an amount of 5 cannabis for personal use that does not exceed the 6 possession limit under Section 10-10 or otherwise in 7 accordance with the requirements of this Act; 8 (2) cultivation of cannabis for personal use in 9 accordance with the requirements of this Act; and 10 (3) controlling property if actions that are 11 authorized by this Act occur on the property in accordance 12 with this Act. 13 (a-1) Beginning January 1, 2020, notwithstanding any other 14 provision of law, and except as otherwise provided in this 15 Act, possessing, consuming, using, purchasing, obtaining, or 16 transporting cannabis paraphernalia or an amount of cannabis 17 purchased or produced in accordance with this Act that does 18 not exceed the possession limit under subsection (a) of 19 Section 10-10 shall not be a basis for seizure or forfeiture of 20 assets under State law. 21 (b) Cultivating cannabis for personal use is subject to 22 the following limitations: 23 (1) An Illinois resident 21 years of age or older who 24 is a registered qualifying patient under the Compassionate 25 Use of Medical Cannabis Program Act may cultivate cannabis 26 plants, with a limit of 5 plants that are more than 5 HB3498 - 12 - LRB104 09660 BDA 19726 b HB3498- 13 -LRB104 09660 BDA 19726 b HB3498 - 13 - LRB104 09660 BDA 19726 b HB3498 - 13 - LRB104 09660 BDA 19726 b 1 inches tall, per household without a cultivation center or 2 craft grower license. In this Section, "resident" means a 3 person who has been domiciled in the State of Illinois for 4 a period of 30 days before cultivation. 5 (2) Cannabis cultivation must take place in an 6 enclosed, locked space. 7 (3) Adult registered qualifying patients may purchase 8 cannabis seeds from a dispensary for the purpose of home 9 cultivation. Seeds may not be given or sold to any other 10 person. 11 (4) Cannabis plants shall not be stored or placed in a 12 location where they are subject to ordinary public view, 13 as defined in this Act. A registered qualifying patient 14 who cultivates cannabis under this Section shall take 15 reasonable precautions to ensure the plants are secure 16 from unauthorized access, including unauthorized access by 17 a person under 21 years of age. 18 (5) Cannabis cultivation may occur only on residential 19 property lawfully in possession of the cultivator or with 20 the consent of the person in lawful possession of the 21 property. An owner or lessor of residential property may 22 prohibit the cultivation of cannabis by a lessee. 23 (6) (Blank). 24 (7) A dwelling, residence, apartment, condominium 25 unit, enclosed, locked space, or piece of property not 26 divided into multiple dwelling units shall not contain HB3498 - 13 - LRB104 09660 BDA 19726 b HB3498- 14 -LRB104 09660 BDA 19726 b HB3498 - 14 - LRB104 09660 BDA 19726 b HB3498 - 14 - LRB104 09660 BDA 19726 b HB3498 - 14 - LRB104 09660 BDA 19726 b