Inactive means the patients have chosen not to renew their card, had their licensed revoked or they have died.
It looks like the majority of inactive patients have chosen not to renew due to hassle, cost or they see little benefit from having a card.
Thankfully, the situation here in New Mexico is getting much better every day and we still have new patients coming into the program faster then old ones are leaving. I would expect the rate of non-renewals to decline as more and more producers are getting up to speed and working the details out. Time will tell.