
The initiative permits patients, at the discretion of a physician, to cultivate limited quantities of marijuana or to obtain cannabis and cannabis-infused products from licensed facilities.
The group behind the effort, New Approach Missouri, includes members of both national NORML as well as its state and local affiliates. To date, the signature gathering effort has largely consisted of volunteers.
Proponents sought to place a similar effort on the 2016 ballot. That effort failed after the courts upheld the decision of St. Louis-area election authorities to reject some 2,000 signatures in the state’s second Congressional district.
Marijuana law reform advocates are also presently gathering signatures for voter-initiated efforts in Michigan and Utah. A statewide initiative legalizing the use of medical marijuana in Oklahoma has already qualified for the 2018 electoral ballot.

