Medical cannabis was legalized in New Jersey under the 2010 Compassionate Use Medical Marijuana Act, and became more widely available under the 2019 Jake Honig Compassionate Use Medical Cannabis Act. A 2020 referendum established that recreational marijuana is legal in New Jersey. With the legality of medical cannabis confirmed, New Jersey's legislature and courts are left with the practical implications of the drug's new status. Among them is when and under what circumstances an insurance company is required to reimburse a patient for medical cannabis. To date, insurance reimbursement for medical cannabis in New Jersey remains a patchwork quilt that yields counterintuitive results, and may remain that way for some time.