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Results for marijuana and psychedelics ballot measures, 2024

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Ballot Measure Election Results, 2024

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On November 5, 2024, voters decided on six ballot measures related to drug use policies, including three on recreational marijuana, two on medical marijuana, and one on psychedelics.

Voters rejected marijuana legalization ballot measures in three states—Florida, North Dakota, and South Dakota. Voters in North Dakota and South Dakota decided on legalization initiatives for the third time, following previous defeats and a court-overturned initiative in South Dakota. This was the first time marijuana legalization went before voters in Florida. Voters in Nebraska approved two ballot measures related to legalizing and regulating the medical use of marijuana in the state. Voters in Massachusetts rejected an initiative to legalize natural psychedelic substances, including psilocybin.

This page provides election results for the marijuana- and psychedelics-related ballot measures, as well as campaign finance and historical ballot measure context. Click on the links below to find the following:

Watchlist

See also: Ballotpedia's Top 15 Ballot Measures and Trends to Watch, 2024

The following ballot measures are highlighted:

  • Florida Amendment 3: Amendment 3 was defeated. The ballot initiative was one of the most expensive ballot measure campaigns of 2024 and, between supporters and opponents, the most expensive marijuana-related ballot measure election on record. The most expensive marijuana legalization ballot measure, before 2024, was California's Proposition 64, which voters approved in 2016. Proposition 64 saw $27.14 million in contributions. Amendment 3 would have legalized recreational marijuana, including the possession of up to three ounces of marijuana. Existing Medical Marijuana Treatment Centers would have been authorized to sell marijuana for personal use. The Florida Democratic Party and former President Donald Trump (R) endorsed Amendment 3, while the Florida Republican Party and Gov. Ron DeSantis (R) oppose the proposal.
  • Massachusetts Question 4: Question 4 was defeated. Colorado and Oregon passed ballot initiatives to legalize or decriminalize certain psychedelic substances. Massachusetts would have become the third state to approve such a measure but was the first to reject one. Question 4 would have allowed adults to grow, possess, and use specific psychedelic substances like psilocybin, psilocin, dimethyltryptamine, mescaline, and ibogaine. Individuals could have purchased these substances for supervised use at licensed facilities, but retail sales outside these settings would have been prohibited. Adults would have been permitted to cultivate these substances in their homes, with restrictions, for personal use.

Results

See also: 2024 ballot measure election results

Summary

The following table summarizes the ballot measure outcomes:

Outcome of marijuana and psychedelic state ballot measures, 2024
Topic Approved Defeated
Recreational marijuana 0 (0%) 3 (100%)
Medical marijuana 2 (100%) 0 (0%)
Psychedelic substances 0 (0%) 1 (100%)

State

Recreational marijuana

The following table lists the three ballot measures to legalize marijuana for recreational or personal use and their election results.

State Type Title Description Result Yes Votes No Votes
FL

CICA

Amendment 3 Legalize the recreational or personal use of marijuana

Defeated

5,950,589 (56%)

4,693,524 (44%)

ND

CISS

Initiated Measure 5 Legalize the recreational or personal use of marijuana

Defeated

172,174 (47%)

190,548 (53%)

SD

CISS

Initiated Measure 29 Legalize the recreational or personal use of marijuana

Defeated

189,916 (44%)

237,228 (56%)


Medical marijuana

The following table lists the two ballot measures to legalize marijuana for medical purposes and their election results.

State Type Title Description Result Yes Votes No Votes
NE

CISS

Initiative 437 Legalize the medical use of marijuana in the state

Approveda

637,126 (71%)

259,643 (29%)

NE

CISS

Initiative 438 Establish the Nebraska Medical Cannabis Commission to regulate the state's medical marijuana program

Approveda

600,481 (67%)

291,867 (33%)


Psychedelics

The following table lists the one ballot measure related to psychedelic substances and its election results.

State Type Title Description Result Yes Votes No Votes
MA

IndISS

Question 4 Allow persons 21 years of age or older to grow, possess, and use natural psychedelic substances, as well as establish a commission to regulate the licensing of psychedelic substances and services

Defeated

1,444,812 (43%)

1,902,527 (57%)


Local

The following table lists the one local ballot measure related to marijuana decriminalization.

Jurisdiction State Type Title Description Result Yes Votes No Votes
Dallas TX

Initiative

Proposition R Amend the Dallas City Charter to decriminalize marijuana possession

Approveda

233,521 (67%)

115,987 (33%)


Campaign finance

See also: Ballot measure campaign finance, 2024

The following table lists the statewide ballot measures, support and opposition contributions for each measure, and the post-election outcome of each measure.

Ballot Measure Support Contributions Oppose Contributions Outcome
Florida Amendment 3, Marijuana Legalization Initiative (2024) $153,787,032.89 $33,610,084.06 Defeated
Massachusetts Question 4, Legalization and Regulation of Psychedelic Substances Initiative (2024) $8,225,154.03 $136,775.00 Defeated
Nebraska Initiative 437, Medical Marijuana Legalization Initiative (2024) $1,624,863.21 $0.00 Approved
Nebraska Initiative 438, Medical Marijuana Regulation Initiative (2024) $1,624,863.21 $0.00 Approved
North Dakota Initiated Measure 5, Marijuana Legalization Initiative (2024) $519,558.50 $0.00 Defeated
South Dakota Initiated Measure 29, Marijuana Legalization Initiative (2024) $1,581,219.86 $505,833.63 Defeated

Historical context

Marijuana

See also: History of marijuana ballot measures and laws

As of October 2024, 24 states and Washington, D.C., had legalized the possession and personal use of marijuana for recreational purposes.[1][2][3]

  • In 13 states and D.C., the ballot initiative process was used to legalize marijuana.
  • In two states, the legislature referred a measure to the ballot for voter approval.
  • In nine states, bills to legalize marijuana were enacted into law.

The following table lists ballot measures to legalize marijuana for recreational or personal use from 1972 to 2023:

State Year Measure Outcome Yes No Origin
Ohio 2023 Issue 2 Approveda 57.19% 42.81% Initiative
Oklahoma 2023 State Question 820 Defeatedd 38.33% 61.67% Initiative
Arkansas 2022 Issue 4 Defeatedd 43.75% 56.25% Initiative
Maryland 2022 Question 4 Approveda 67.20% 32.80% Referral
Missouri 2022 Amendment 3 Approveda 53.10% 46.90% Initiative
North Dakota 2022 Measure 2 Defeatedd 45.06% 54.94% Initiative
South Dakota 2022 Measure 27 Defeatedd 47.08% 52.92% Initiative
Arizona 2020 Proposition 207 Approveda 60.03% 39.97% Initiative
Montana 2020 I-190 Approveda 56.90% 43.10% Initiative
New Jersey 2020 Public Question 1 Approveda 67.08% 32.92% Referral
South Dakota 2020 Amendment A Approveda/Overturnedot 54.18% 45.82% Initiative
Michigan 2018 Proposal 1 Approveda 55.89% 44.11% Initiative
North Dakota 2018 Measure 3 Defeatedd 40.55% 59.45% Initiative
Arizona 2016 Proposition 205 Defeatedd 48.68% 51.32% Initiative
California 2016 Proposition 64 Approveda 57.13% 42.87% Initiative
Maine 2016 Question 1 Approveda 50.26% 49.74% Initiative
Massachusetts 2016 Question 4 Approveda 53.66% 46.34% Initiative
Nevada 2016 Question 2 Approveda 54.47% 45.53% Initiative
Ohio 2015 Issue 3 Defeatedd 36.35% 63.65% Initiative
Alaska 2014 Ballot Measure 2 Approveda 53.23% 46.77% Initiative
Oregon 2014 Measure 91 Approveda 56.11% 43.89% Initiative
Colorado 2012 Amendment 64 Approveda 55.32% 44.68% Initiative
Washington 2012 Initiative 502 Approveda 55.7% 44.3% Initiative
California 2010 Proposition 19 Defeatedd 46.54% 53.46% Initiative
Nevada 2006 Question 7 Defeatedd 44.08% 55.92% Initiative
Alaska 2004 Measure 2 Defeatedd 44.25% 55.75% Initiative
Arizona 2002 Proposition 203 Defeatedd 42.65% 57.35% Initiative
Oregon 1986 Ballot Measure 5 Defeatedd 26.33% 73.67% Initiative
California 1972 Proposition 19 Defeatedd 33.47% 66.53% Initiative

Psychedelics

The first state where voters decided on a ballot measure related to psychedelics, such as psilocybin mushrooms, was Oregon in 2020. Colorado was the second state in 2020. Both were approved.

State Year Type Title Description Result Yes Votes No Votes
CO 2022

CISS

Proposition 122 Decriminalize the use of the psychedelic plants and fungi and create a services program for administration of such substances

Approveda

1,296,992 (54%)

1,121,124 (46%)

OR 2020

CISS

Measure 109 Authorize the Oregon Health Authority to create a program to permit licensed service providers to administer psilocybin fungi products to individuals 21 years of age or older

Approveda

1,270,057 (56%)

1,008,199 (44%)


See also

Footnotes

  1. Smart Approaches to Marijuana, "MJ Laws Map," accessed June 15, 2022
  2. Marijuana Policy Project, "Map of state marijuana laws," accessed June 15, 2022
  3. This count excludes South Dakota, where voters approved a marijuana legalization initiative in 2020, which was subsequently overturned by the state's supreme court.