State guideHawaii
Medical onlyVerified September 20, 2026

Cannabis
in Hawaii

What the law allows in Hawaii, and the dispensaries and deals as they are added.

Hawaii at a glance

Medical Only
Hawaii currently allows cannabis purchases from approved dispensaries. Please check our news section for updates.

Hawaii cannabis law

Possession Limits

Hawaii's program lets registered patients and caregivers acquire, possess, grow, transport, and use cannabis for medical purposes (Hawaii DOH). There are firm rules on how and where. Cannabis must travel in a sealed container kept out of public view, and carrying it between islands is prohibited even for cardholders (Hawaii DOH). Registration also doesn't permit use in parks, beaches, workplaces, vehicles, or other public places, or smoking and vaping on smoke-free properties such as hotels, apartments, and condos (Hawaii DOH). For people without a card, possessing three grams or less is a civil violation with a $130 fine, while larger amounts can bring criminal charges and possible jail time (NORML; MPP). --- Notes: No specific patient quantity limit is stated. Only one source, hawaiistatecannabis.org (not official), gives a figure: 4 ounces of usable cannabis. None of the .gov sources in the research confirm a number, so I left it out. Before publishing a limit, it should be checked against the Hawaii DOH site or the statute (HRS Chapter 329). The non-patient penalty sentence relies on non-official sources. NORML, MPP, Wikipedia, and the ACLU all agree on the three-gram, $130 threshold, but no .gov source here confirms it. You could

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Age Minimum

Recreational cannabis remains illegal in Hawaii (Wikipedia; HawaiiStateCannabis.org), so there is no adult-use age threshold. Access depends on qualifying for the state's medical program. Minors are not shut out of that program. A young patient can qualify, but only with a parent's consent, and the parent keeps control over dosing and how the cannabis is obtained (MPP). For out-of-state visitors, the Department of Health requires minor patients to have a parent or legal guardian registered as their caregiver, with no more than two caregivers per patient (Hawaii DOH). --- Notes for the editor No specific age is stated. Only a commercial provider (quickmedc

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Home Grow

Hawaii's medical program allows registered patients to grow their own cannabis. The Department of Health defines protected "medical use" to include cultivation, along with acquisition, possession, and transportation (health.hawaii.gov). Patients who can't tend plants themselves may reportedly have a caregiver grow on their behalf (Wikipedia). Rules still apply once the harvest leaves home. Cannabis must travel in a sealed container out of public view, and patients and caregivers may not carry it between islands (health.hawaii.gov). Growers should confirm current plant limits and location requirements directly with the state registry before planting. --- Notes for the editor Plant limits omitted. None of the sources state how many plants a medical patient may currently grow. The ACLU of Hawaii figures (6 plants per person, 10 per household) describe proposed adult-use legislation, not current law, so I left them out. Caregiver cultivation rests on a non-official source. Only Wikipedia supports it, and none of the .gov pages confirm it. Please verify against an official source or remove the sentence. Adult-use home grow omitted. Sources 7 and 11 say recreational use is illegal, which implies non-patients cannot grow. Neither is an official source, so I didn't state it outright. The directory's "medical" classification is consistent with this. Penalties omitted. NORML's note that cultivating 25 or more plants is a felony comes from a non-official source and concerns general criminal penalties, not patient rules, so I didn't include it. Other gaps. The sources don't establish grow-site registration, location requirements (for example, whether plants must be at the patient's residence), or security rules.

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Regulatory Body

Hawaii's medical cannabis program is overseen by the state Department of Health, which runs it through its Office of Medical Cannabis Control and Regulation (source). That office manages two parallel efforts: a Medical Cannabis Patient Registry Program for qualifying individuals and a Medical Cannabis Dispensary Program for licensed retail operations (source). Patient registration happens through an online registry that issues "329 cards" and serves patients, caregivers, physicians, APRNs, and designated law enforcement officers (source). Visitors with a card from another state can also get a temporary digital 329 card through the same Department of Health program (source). The registry is scheduled to move to a new system on September 30, 2026, so applicants should check the Department of Health site for current portal details (source; source). --- Notes for the editor Left out: the agency's history. One source says the Department of Public Safety originally ran the program and that it moved to the Department of Health in 2015. That source is not official, and no .gov source here confirms it. It needs official verification before it can be included. Left out: the origin of the "329" name. A non-official source says the name comes from a section of the state statute. No official source here confirms that, so I kept only the card's name. Left out: a proposed new cannabis office. The ACLU source describes a proposed Hawaii Cannabis and Hemp Office within the Department of Commerce and Consumer Affairs. That was proposed legislation, not current law, so I left it out to avoid suggesting a change in oversight. Flag: the September 30, 2026 portal change. Two official sources give this date, one calling it "scheduled" and the other "planned." It is a future event and should be reviewed once that date has passed.

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Taxes

Hawaii's cannabis market is limited to registered medical patients. The Department of Health runs the state's patient registry and dispensary programs (health.hawaii.gov/medicalcannabis), and recreational use remains illegal (hawaiistatecannabis.org). Because there is no legal adult-use market, there is no adult-use cannabis tax in effect. Lawmakers have considered legalization bills, and one proposal would have taxed adult-use sales at 14 percent (ACLU of Hawaii), but that rate applies only to proposed legislation, not to current medical purchases. Patients should ask their dispensary what taxes will appear on a medical order at checkout. --- Notes for the editor: Tax on medical purchases is omitted. None of the sources state what tax, if any, applies to medical cannabis sales in Hawaii. No official .gov page in the set covers it, and no other source gives a rate. Source 11 lists "taxes" as a heading but provides no tax fact. I left this out rather than guess. An official source such as the Hawaii Department of Taxation or the Office of Medical Cannabis Control and Regulation should be added before stating a rate. Status of the 14% proposal is unclear. The ACLU source describes the 14 percent figure as part of proposed legislation. It does not clearly say whether that bill failed, stalled, or is still pending. I kept the wording to "would have" and "proposed" and did not claim a specific outcome

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On-Site Consumption

Hawaii's medical program limits where registered patients and caregivers may consume. State rules bar use in public settings such as parks, beaches, recreation centers, workplaces, and vehicles, and the state's smoke-free laws cover medical cannabis the same way they cover tobacco (Hawaii DOH). This matters for visitors and renters, because smoking or vaping is not allowed on properties with smoke-free policies, including many hotels, apartments, and condos (Hawaii DOH). After a purchase, patients must carry products in a sealed container kept out of public view, and they may not take cannabis between islands (Hawaii DOH). --- Notes: None of the sources says directly whether dispensaries allow consumption on their premises or whether consumption lounges exist in Hawaii. I left that out rather than infer it from the public-use ban. The travel page (source 3) lists "on-site consumption" as a heading, but no supporting fact was provided, so I didn't rely on it. An editor should confirm the dispensary-premises question before publishing, since it is the core of this section's title. The sources don't clearly say where use is permitted, such as a private residence. I avoided any affirmative statement about that. Every claim above comes from the single official DOH restrictions page. No non-.gov sources were used.

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Medical Card Process

Hawaii's medical cannabis program is run by the state Department of Health through its Office of Medical Cannabis Control and Regulation, which oversees both the patient registry and the licensed dispensaries (health.hawaii.gov). Residents need a certification from a physician or advanced practice registered nurse (APRN) confirming a qualifying condition before they can apply (MPP). Patients, caregivers, and certifying clinicians then complete the process through the state's online registry, which issues the card Hawaii calls a "329 card" (medmj.ehawaii.gov). Visitors who hold a medical cannabis card from their home state can apply for a temporary Hawaii registration. They must show a valid state ID along with that card and pay a non-refundable $49.50 fee. The registration lasts up to 60 days and can be renewed once per calendar year (health.hawaii.gov). A minor patient must have a parent or legal guardian serving as caregiver, with no more than two caregivers allowed (health.hawaii.gov). --- Notes for the editor Certification requirement: None of the .gov pages provided states outright that residents need a physician or APRN certification. The official registry site only lists physicians and APRNs as system users. I cited MPP instead. Please confirm this against an official Department of Health page if one is available. Minor caregiver rule: This comes from the DOH travel page, which covers out-of-state applicants. Please check whether the same two-caregiver limit applies to resident minors before relying on it for them. Left out because of conflicts:

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Qualifying Conditions

Hawaii's medical cannabis program is overseen by the state Department of Health through its Office of Medical Cannabis Control and Regulation (health.hawaii.gov), and approved patients receive a registry card commonly called a "329 card" (medmj.ehawaii.gov). To qualify, a patient needs a certifying physician or nurse practitioner to confirm that their health condition could benefit from medical cannabis (MPP; Wikipedia). The state's registry is used by both physicians and APRNs ([medmj.

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Application Requirements

Hawaii's medical cannabis program is run by the Department of Health's Office of Medical Cannabis Control and Regulation, and applications go through its online Medical Cannabis Registry, which issues the patient ID known as a "329 card" (health.hawaii.gov; medmj.ehawaii.gov). The state has scheduled a move to a new registry portal on September 30, 2026, so applicants should check which system is active before starting (medmj.ehawaii.gov; health.hawaii.gov). Resident applicants need a qualifying condition and a certification from a physician or nurse practitioner (mpp.org). Visitors who already hold a medical cannabis card from their home state can apply for temporary Hawaii registration. They must present that card along with a valid state ID. The fee is $49.50 and is non-refundable. Registration lasts up to 60 days and can be renewed once per calendar year for another 60 days (health.hawaii.gov). An out-of-state patient who is a minor must register with a parent or legal guardian as caregiver, and no more than two caregivers are allowed ([health.hawaii.gov](https://health.hawaii.gov/medicalcannabisregistry/

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Renewal Process

Hawaii's Department of Health runs the medical cannabis patient registry through its Office of Medical Cannabis Control and Regulation (health.hawaii.gov/medicalcannabis). Registry cards are known as "329 cards" and are managed through an online system that patients, caregivers, and certifying physicians and APRNs can access (medmj.ehawaii.gov). That system is scheduled to move to a new platform on September 30, 2026, so patients renewing around that date should check the registry site for updated instructions (medmj.ehawaii.gov; health.hawaii.gov/medicalcannabis). Visitors with a temporary out-of-state registration, which lasts up to 60 days, may renew it once per calendar year for another 60 days (health.hawaii.gov/medicalcannabisregistry/travel). --- Note for editor: Resident renewal details were left out. The official sources provided don't describe how in-state patients renew, how early they can start, how long a renewed card lasts, or what it costs. Two commercial sources cover these points: greenwavemedical.com says the state recently approved two-year renewals and that renewal mirrors the original application. quickmedcards.com says patients can renew 60 days before expiration, that a two-year card requires physician confirmation of a chronic condition, and that fees are $38.50 for one year or $77.00 for two. These are not official, and the two sites don't fully agree on the details, so I didn't state any of them as law. If you want this covered, please confirm on a health.hawaii.gov page or in HRS §329. The portal launch date is worded slightly differently in the two official sources. One says the new system is "scheduled" for September 30, 2026, and the other says it was "planned." Please confirm the current status before publishing. The visitor card is described inconsistently.

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Telemedicine Rules

Hawaii's medical cannabis program runs through the Department of Health's Office of Medical Cannabis Control and Regulation (health.hawaii.gov/medicalcannabis). Patients need certification from a physician or nurse practitioner before applying for a registry card (MPP), and certifying physicians and APRNs use the state's online registry system (medmj.ehawaii.gov). According to one certification provider, first-time patients may be certified through a telemedicine consultation rather than an in-person visit (QuickMedCards). Patients should confirm current requirements with the Department of Health before booking a virtual appointment. --- Note for editor: Telemedicine claim needs official confirmation. The only source that actually says telemedicine is allowed is QuickMedCards, a commercial certification service. No .gov source in the research confirms it. The official Restrictions page (source 1) lists "telemedicine rules" as a heading, but none of the facts extracted from it address telemedicine. Sources 8 and 11 also list the heading without supporting facts. Someone should check source 1 directly before publishing. If it contradicts the provider, or it can't be verified, remove the sentence. Left out because the sources don't establish them: Whether an established patient relationship is required. Whether audio-only visits qualify. Whether telemedicine applies to renewals. Any rules for out-of-state or visiting patients. Source 11 conflicts with source 10. Source 11 says certification comes from a "primary care provider." Source 10 says a physician or nurse practitioner,

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Reciprocity

Hawaii offers visiting patients a temporary state registration. Holders of a medical cannabis card from another state can apply for a Hawaii registration lasting up to 60 days, and they may renew it once per calendar year for a second 60-day period (Hawaii DOH). Applicants need a valid state ID and a current medical cannabis card from their home state. The application fee is $49.50 and is non-refundable. Approved visitors receive a digital "329 card" (Hawaii DOH). Visiting minors must have a parent or legal guardian serving as caregiver, with no more than two caregivers allowed (Hawaii DOH). Once registered, visitors follow the same rules as residents. Cannabis may not be carried between islands. It must travel in a sealed container out of public view, and it cannot be used in public places such as beaches, parks, or vehicles (Hawaii DOH). --- Notes for the editor Left out: the "329V" card name. Only a dispensary site (bigislandgrown.com) uses this name. The official DOH travel page calls the visitor card a "329 card," so I used the official term. Left out: whether a visitor's home-state card must cover a Hawaii qualifying condition. Only bigislandgrown.com makes this claim. The official source doesn't confirm it. Left out: whether temporary registration lets visitors buy at Hawaii dispensaries. Only bigislandgrown.com says so explicitly. The official facts provided don't state it, so I didn't assert it. It's worth checking on the DOH travel page, since it's likely the most useful point for directory readers. Left out: any statement that Hawaii refuses to honor out-of-state cards on their own. The official source describes the registration process but doesn't say this directly. Fee check. The $49.50 out-of

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