After years of working behind the counter in Illinois dispensaries, there’s one question that comes up more than almost any other when it comes to medical cannabis and the law:
“Can I still get or keep my FOID card if I have a medical marijuana card, act as a caregiver, or use cannabis recreationally?”
The short answer in Illinois is yes, having a medical cannabis card or using cannabis does not automatically disqualify you from holding a FOID card under state law.
But, as with most things involving cannabis in the U.S., the real complications start once federal law enters the picture.
Illinois Law vs. Federal Law
Under Illinois law, medical cannabis patients, caregivers operating under the Compassionate Use of Medical Cannabis Program, and even adult-use cannabis consumers are still eligible to apply for and maintain a FOID card. The state does not treat lawful cannabis use as a disqualifying factor on its own.
However, cannabis remains illegal at the federal level, and that creates a legal gray area that consumers need to understand clearly.
The Federal Catch: Gun Control Act of 1968
Under the Gun Control Act of 1968, specifically 18 U.S.C. § 922, individuals who are considered “unlawful users” of a controlled substance are prohibited under federal law from possessing or purchasing firearms and ammunition.
Because cannabis is still classified as a Schedule I substance federally, medical cannabis patients and caregivers can fall under these federal restrictions, even if they are fully compliant with Illinois law.
Timing Matters
Another critical detail many people don’t realize:
These federal restrictions do not immediately disappear if you give up your medical cannabis card.
In practice, the prohibition can remain in effect for up to one year after your medical card is revoked or voluntarily surrendered. This is an important consideration for anyone navigating both medical cannabis access and firearm ownership.
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What This Means for Cannabis Consumers
To be clear:
- Illinois allows you to hold both a medical cannabis card and a FOID card.
- Federal law still places limitations on firearm and ammunition possession for cannabis users.
- These laws are not always enforced consistently, but they are still on the books.
This disconnect between state legalization and federal prohibition is one more example of how outdated cannabis laws continue to create confusion, and potential risk, for consumers who are otherwise following the rules.
At Couch Lock’d, we believe cannabis consumers deserve clear, honest information, not scare tactics or misinformation. If you’re navigating medical cannabis, firearm ownership, or both, it’s always smart to stay informed and consult a qualified legal professional if you have specific concerns.
Until federal cannabis laws catch up with reality, these contradictions aren’t going away, and it’s on all of us to understand where the lines are drawn.

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