Iowa Code

Iowa Code § 124E.4 (2026)

Medical cannabidiol registration card

✓ current as of July 2026
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1. Issuance to patient. Subject to subsection 6, the department may issue a medical cannabidiol registration card to a patient who:

a. Is at least eighteen years of age.

b. Is a permanent resident of this state.

c. Submits a written certification to the department signed by the patient’s health care practitioner that the patient is suffering from a debilitating medical condition.

d. Submits an application to the department, on a form created by the department, that contains all of the following:

(1) The patient’s full name, Iowa residence address, date of birth, and telephone number.

(2) A copy of the patient’s valid photo identification.

(3) Full name, address, and telephone number of the patient’s health care practitioner.

(4) Full name, residence address, date of birth, and telephone number of each primary caregiver of the patient, if any.

(5) Any other information required by rule.

e. Submits a medical cannabidiol registration card fee of one hundred dollars to the department. If the patient attests to receiving social security disability benefits, supplemental security insurance payments, or being enrolled in the medical assistance program, the fee shall be twenty-five dollars.

2. Patient card contents. A medical cannabidiol registration card issued to a patient by the department pursuant to subsection 1 shall contain, at a minimum, all of the following:

a. The patient’s full name, Iowa residence address, and date of birth.

b. The date of issuance and expiration date of the medical cannabidiol registration card.

c. Any other information required by rule.

3. Issuance to primary caregiver. For a patient in a primary caregiver’s care, subject to subsection 6, the department may issue a medical cannabidiol registration card to the primary caregiver who:

a. Submits a written certification to the department signed by the patient’s health care practitioner that the patient in the primary caregiver’s care is suffering from a debilitating medical condition.

b. Submits an application to the department, on a form created by the department, that contains all of the following:

(1) The primary caregiver’s full name, residence address, date of birth, and telephone number.

(2) The patient’s full name.

(3) A copy of the primary caregiver’s valid photo identification.

(4) Full name, address, and telephone number of the patient’s health care practitioner.

(5) Any other information required by rule.

c. Submits a medical cannabidiol registration card fee of twenty-five dollars to the department.

4. Primary caregiver card contents. A medical cannabidiol registration card issued by the department to a primary caregiver pursuant to subsection 3 shall contain, at a minimum, all of the following:

a. The primary caregiver’s full name, residence address, and date of birth.

b. The date of issuance and expiration date of the registration card.

c. The medical cannabidiol registration card number of each patient in the primary caregiver’s care. If the patient in the primary caregiver’s care is under the age of eighteen, the full name of the patient’s parent or legal guardian.

d. Any other information required by rule.

5. Expiration date of card. A medical cannabidiol registration card issued pursuant to this section shall expire one year after the date of issuance and may be renewed.

6. Federally approved clinical trials. The department shall not approve the issuance of a medical cannabidiol registration card pursuant to this section for a patient who is enrolled in\n\nTue Dec 09 22:27:39 2025 Iowa Code 2026, Chapter 124E (59, 0) §124E.4, MEDICAL CANNABIDIOL ACT 4\n\na federally approved clinical trial for the treatment of a debilitating medical condition with medical cannabidiol. 2017 Acts, ch 162, §7, 25; 2019 Acts, ch 24, §17, 18; 2020 Acts, ch 1116, §6 – 16 Referred to in §124E.3, 124E.11 \n

Notes of Decisions
Cited in 4 cases (4 in the last 5 years), 2022–2025 · leading case: In the Interest of M.D., Minor Child (Iowa Ct. App. 2025).
In the Interest of M.D., Minor Child (Iowa Ct. App. 2025). · cites it 2× “2 See Iowa Code §§ 124E.4, .17 (2024). As long as the father was not using while caring for children, the department stated his marijuana consumption was “not a priority” and focused its attention on the methamphetamine and cocaine usage.”
In the Interest of K.Q., Minor Child (Iowa Ct. App. 2025). · cites it 2× “See Iowa Code § 124E.4 (2024). Because both were prescribed, the department was focused on her illegal drug use.”
In the Interest of K.W., Minor Child (Iowa Ct. App. 2025). · cites it 2× “See Iowa Code §§ 124E.4, .17 (2025). 3 We have previously recognized methadone as “a synthetic addictive narcotic drug” used “in the treatment of heroin addiction.”
In the Interest of G.B., Minor Child (Iowa Ct. App. 2022). “See Iowa Code § 124E.4 (listing requirements to apply for and obtain card).”
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