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7204(28) exempts medical marijuana from the 6 percent state sales tax Adult-use status: NOT legal (recreational legalization proposed multiple times but not passed) Card validity: 1 year from issue date MMJ.com physician fee: $149.99 (renewal-priced video evaluation) PA DOH state ID card fee (standard): $50.00 PA DOH state ID card fee (MMAP): $0.00 (waived for documented Medicaid, SNAP, WIC, CHIP, PACE, or PACENET enrollees) Total renewal cost (standard): $199.99 ($149.99 + $50) Total renewal cost (MMAP): $149.99 ($149.99 + $0) Two-step renewal: practitioner Patient Certification + patient-pays-$50 state ID fee on registry (practitioner CANNOT complete the second step) Card delivery: mailed to PA address in 7 to 14 business days Current card during processing: Remains valid until new card is issued (if renewal started before expiration) Qualifying conditions: 24 enumerated under 35 P.S