According to the 2021 Marijuana Business Factbook, there are 38 states and Washington D.C. who have some kind of medical marijuana program in place. Only about 16 states have legalized recreational marijuana use for adults over 21, however. Medical marijuana legalization efforts are now focused more on conservative red states, such as Alabama. Currently, Alabama appears to be the most likely state to legalize MMJ at this point in time. South Carolina, Kansas, and Nebraska still seem unlikely. North Carolina, however, has become a “maybe” when the state’s senate committee submitted a legalization bill.