New York legalized adult cannabis use to do two things at once: take the market away from the illicit trade, and regulate it so kids can't walk in and buy. The first part is going slowly. The second part is the one I worry about as a child psychiatrist, so we went and measured it.

I co-authored a study, led by Dr. Timothy Becker and published in Pediatrics, that did something simple. We picked 37 retailers at random from a pool of 840 across the city and sent trained observers in to watch what actually happens at the counter. Five were licensed medical dispensaries, seven were licensed recreational shops, ten were unlicensed dispensaries, and fifteen were smoke shops. We recorded whether they checked ID, what they sold next to the cannabis, how they advertised, and how close they were to a school.

Here's the short version. The licensing line is the whole story.

Licensed shops checked ID. Unlicensed shops mostly didn't.

Every licensed dispensary we visited asked for ID before letting anyone in the door, and every one of them checked again at the register. That's 100% at both points. The unlicensed shops were a different world. Only about 1 in 10 checked ID at the door. At the register, fewer than half did. Put that together and a teenager walking into an unlicensed shop has a coin-flip's chance, or better, of never being asked their age.

Business practice Licensed Unlicensed
Checked ID at the door100%10%
Checked ID at purchase100%48%
Cartoon or character signage0%57%
Sold candy0%53%
Sold soda0%57%
Sold energy drinks0%48%
Within a short walk of a school75%76%
Displayed a health warning8%10%

None of these gaps were borderline. The age-verification difference was statistically significant at both the door and the register.

The unlicensed shops are built for the wrong customer

What struck me wasn't just the missing ID checks. It was the storefront. More than half the unlicensed shops used cartoon signage. More than half stocked candy and soda right alongside the cannabis. Almost half sold energy drinks. You don't merchandise that way for a 40-year-old buying a vape on the way home from work. You do it for the customer who also wants a Sour Patch and a Red Bull.

The licensed shops did none of this. Zero cartoon signage, zero candy, zero soda. Whatever else you think of New York's rollout, the licensing process is producing stores that look like pharmacies, and the gray market is producing stores that look like they're courting kids.

And nearly all of them sit near a school

Three out of four shops we audited, licensed and unlicensed alike, were within a short walk of a school. This is the finding I'd push hardest on. The licensed shops are supposed to respect distance buffers, and most still ended up close to schools in a city this dense. The unlicensed shops don't even pretend.

Proximity matters because it lowers effort. Adolescents don't plan their substance use the way adults do. The store they pass every day after school is the store that shapes behavior. When the closest, cheapest, most kid-friendly option is also the one that won't ask for ID, you've engineered easy access whether you meant to or not.

One more thing worth saying plainly: almost nobody, licensed or not, posted health warnings. Fewer than 1 in 10 shops of either type did.

Why I care about this as a psychiatrist, not just a citizen

I study cannabis and the developing brain. The reason retail access keeps me up is that earlier and heavier teen cannabis use is exactly the pattern linked to the worst psychiatric outcomes. The largest cohort study to date found teen cannabis use roughly doubled the risk of a psychotic or bipolar disorder, and our own work points the same way. THC acts on a brain that's still wiring itself, during the years when that wiring is hardest to undo.

So the policy question isn't abstract for me. Every shop that skips the ID check and sells candy by the register is lowering the age of first use in a population where age of first use predicts harm. That's the chain. Regulation that only exists on paper doesn't break it.

What actually helps

I'm not anti-legalization. A well-run legal market is the best tool we have to push out the unlicensed shops that are the real problem here. The data says the licensed stores are doing the one thing that matters most: they check ID, every time. The job now is enforcement against the gray market, honest siting rules near schools, and warning labels that are more than decorative.

If you're a parent, the practical takeaway is smaller and more useful. Teach your kid what a licensed shop looks like, because the difference is visible. Licensed New York dispensaries carry the state's verification seal and a QR code, they show up in the official locator, and they will always ask for ID. A storefront that sells weed next to soda and waves you in without a glance at your license is breaking the law, and it's the one most likely to sell to a 16-year-old.


Full citation: Becker TD, Olfson M, Menzi PJ, Levin FR, Hasin DS, Nuckolls C, Sultan RS. Cannabis Access by Retailer Type in New York. Pediatrics.

Read the paper: PubMed PMID 39992694  |  Columbia CUIMC summary  |  NY Office of Cannabis Management — Enforcement

More from our group: Cannabis and Mental Health Research | Publications


Worried about a teenager's cannabis use?

I'm a board-certified child and adolescent psychiatrist at Columbia with NIH-funded research in cannabis and adolescent mental health. I evaluate teens and young adults for cannabis use, ADHD, and mood and anxiety disorders, and I work with families on what to do next.

Child & Adolescent Psychiatry NYC →    Schedule an Evaluation →


Frequently Asked Questions

Do cannabis shops in New York check ID?

It depends on whether the shop is licensed. In our study, every licensed dispensary checked ID at the door and again at the register. Among unlicensed shops, only about 1 in 10 checked at the door and nearly half never checked at all. If a store doesn't ask for ID, that's a strong sign it's illegal.

How can I tell if a New York dispensary is licensed?

Licensed dispensaries display New York's Office of Cannabis Management verification seal with a QR code and appear in the official OCM locator. They always check ID. A shop selling cannabis next to candy and soda, using cartoon signage, or skipping the ID check is almost certainly unlicensed.

Are cannabis shops allowed near schools in New York?

Licensed dispensaries face distance buffers from schools, but in a city this dense, three out of four shops we audited still sat near one. Unlicensed shops ignore the rules entirely. Proximity matters because it lowers the effort it takes a teenager to buy.

Why does youth access to cannabis matter for mental health?

Earlier and heavier teen cannabis use is tied to higher risk of psychosis, mood disorders, and cannabis use disorder, because THC disrupts a brain that's still developing. Easy retail access lowers the age of first use, and earlier use is the pattern linked to the worst outcomes.


Further Reading