New Hampshire cannabis is medical only as of Nov. 2026. The Therapeutic Cannabis Program under DHHS licenses nonprofit alternative treatment centers (ATCs), capped at 4 certificates, with 3 operators running 7 dispensaries. Adult use failed again when the Senate tabled HB 186 on March 5, 2026. A greenhouse cultivation law took effect Aug. 19, 2026.
Senate tabled adult use HB 186 on March 5, 2026; greenhouse law for ATCs in force since Aug. 19, 2026
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New Hampshire runs a medical-only program under RSA 126-X, administered by the New Hampshire Department of Health and Human Services Therapeutic Cannabis Program. The only business license is the alternative treatment center (ATC), a not-for-profit that cultivates, processes and dispenses. Statute caps valid certificates at 4; DHHS lists 3 operators with 7 dispensary locations, and no request for applications is open as of Nov. 2026.
Two 2026 outcomes matter. For profit conversion bills HB 54 and SB 479 were both laid on the Senate table and not enacted, so the nonprofit rule stands. SB 468 survived a veto on Aug. 19, 2026 and lets ATCs apply for a greenhouse cultivation location once DHHS writes rules. Compare New Hampshire with cannabis licensing in every state.
An ATC funds grow, processing and up to two dispensaries on one nonprofit balance sheet. Example: a 15,000 sq ft enclosed cultivation and processing building at $150 to $500+ per sq ft runs $2.25 million to $7.5 million or more, before dispensaries and $23,000 in RFA fees. Design takes 30 to 60 days and the build 3 to 6 months after permits.
Power is the New Hampshire problem: 20.11 cents per kWh average commercial price in 2025 against a 13.37 cent U.S. average, per EIA Electric Power Annual, Table 2.10, which is why the legislature overrode a veto to allow greenhouses. Cold winters add heating load and humid summers add dehumidification, so model kWh per pound with Quest dehumidifiers (sourced on request) before you pick a site. Local zoning applies to every ATC site and greenhouse, and DHHS must consult the host town first.
Testing. Every harvested and concentrate batch goes to an independent New Hampshire lab licensed under RSA 151 (He-C 402.15): cannabinoid profile, microbials, mycotoxins, heavy metals, residual solvents at 500 ppm, and quarterly pesticide screens per cultivation site that fail above 10 ppb.
Security. He-C 402.24 requires cameras in every cannabis area, entry, exit and parking lot, 90 days of 24 hour recording, perimeter and window alarms, duress alarms, a backup alarm from a second company and operation through a power outage.
Tracking. He-C 402.13 requires an electronic inventory system with a real-time record of plants, usable cannabis and infused products, daily reconciliation and a monthly comprehensive inventory. No seed-to-sale vendor is named.
Packaging and edibles. He-C 402.19 requires plain, opaque, tamper-proof, child-resistant containers, no imagery beyond the ATC logo, and labels in milligrams with dosing and onset. He-C 402.16 sets no per-serving THC cap but limits solvents to acetone, butane, ethanol, heptane, isopropanol and propane.
| Topic | New Hampshire rule | Design response |
|---|---|---|
| Cultivation facility | Enclosed, locked facility (RSA 126-X:7); greenhouse location allowed since Aug. 19, 2026 pending DHHS rules | Sealed rooms with HVAC sized by room, or a greenhouse program on Urban Farms HVAC |
| Energy | 20.11 cents per kWh commercial power (EIA 2025); the greenhouse law exists to cut energy cost | Thrive Agritech LEDs and Anden dehumidifiers selected on kWh per pound |
| Extraction | He-C 402.16: six permitted solvents, fire and building code, NEC, certified hood, sprinklers, Saf-C 6000 limits posted | C1D1 room with used Precision Extraction systems |
| Testing | He-C 402.15: every batch, independent lab, pesticides fail above 10 ppb | Airflow and sanitation built for microbial pass rates |
| Packaging | He-C 402.19: opaque, tamper-proof, child-resistant; seal applied at the cultivation site | Packaging room at the grow with NTEP checkweighing |
Medical cannabis is legal for registered patients under RSA 126-X. Adult use is not. The House passed HB 186 on Jan. 7, 2026, 208 to 135, and the Senate laid it on the table on March 5, 2026, 15 to 9.
You need an alternative treatment center certificate from DHHS, and the ATC must also cultivate and process. RSA 126-X:7 caps certificates at 4 and no request for applications is open as of Nov. 2026. Existing ATCs may add one dispensary each in areas 1 to 4.
He-C 402.04 sets an RFA submission fee of $3,000 and a selection fee of $20,000, plus an annual program expense fee based on share of cannabis dispensed. Moving a location costs $30,000. The real cost is the grow and processing build at $150 to $500+ per sq ft.
A not-for-profit registered by DHHS that grows, processes and dispenses therapeutic cannabis. Three operators run 7 locations: GraniteLeaf, Sanctuary and Temescal Wellness. For profit bills HB 54 and SB 479 were laid on the Senate table in 2026, so the nonprofit requirement still applies.
SB 468 became Chapter 344 on Aug. 19, 2026 after a veto override, letting ATCs request a greenhouse cultivation location to cut energy cost; DHHS must now write rules. For an operating adult use market nearby, see New York cannabis licensing.
Regulator: New Hampshire Department of Health and Human Services, Therapeutic Cannabis Program. Last reviewed November 7, 2026.