Updated on November 19, 2021. Medical content reviewed by Dr. Joseph Rosado, MD, M.B.A, Chief Medical Officer
Hawaii has a different name for the medical cannabis card. In Hawaii, patients are issued a 329 Registration Card. Qualified patients can visit a medical cannabis dispensary to purchase products. The Hawaiian name for cannabis is “Pakalolo,” which means “numbing tobacco.” And the first written mention of Pakalolo for medicinal use in Hawaii dates back to 1842.
The Hawaii State Legislature introduced two new bills in 2021 that would expand medical marijuana options for patients. Senate Bill 758 passed the first reading in March 2021. The legislation would increase the amount of cannabis that a medical cardholder can possess to one ounce (28.5 grams). The second bill would create a path to legalizing adult-use (recreational) cannabis in Hawaii. Senate Bill 767 would legalize marijuana for adults aged twenty-one (21) years and older. If passed, SB 767 will also make growing up to three (3) cannabis plants at home legal for adults.
Any patient who is eighteen (18) years of age or older is eligible to apply for a medical cannabis card in Hawaii. Minors under the age of eighteen years are required to have a designated legal guardian and caregiver for assistance.
The health conditions that qualify for medical marijuana in Hawaii include:
Before you apply for your Hawaii medical card, it’s important to make sure you have a diagnosis for one of the qualifying health conditions. And if you were diagnosed more than two years ago, have your primary care provider update your diagnosis in your health records.
If you have a medical card and you are a resident of Hawaii, you can visit a dispensary to purchase the following cannabis products:
There is no excise tax on Hawaii medical marijuana. However, all purchases are subject to a 4% retail sales tax. In Oahu, the sales tax is 4.5%. If adult-use cannabis is legalized in the state, non-medical users could pay up to 20% excise and sales tax, including local community taxes of 3%.
Hawaii has reciprocal agreements with other states. Out-of-state patients (OSPs) may apply for a maximum period of 2 x sixty-day licenses in a calendar year. Patients can transfer from an OSP to an in-state patient (ISP) card if they become permanent residents of Hawaii.
You have to be eighteen (18) years of age or older to apply for a Hawaii 329 Registration Card. However, minors under eighteen with a qualifying health condition may also apply. A designated caregiver is required.
Yes. The first step is to create an ehawaii.gov account. The name you use to register as a patient must exactly match the name on your state-issued driver’s license. Patients are required to upload documentation as part of the medical card application process. There is a video tutorial that explains how patients can complete the registration online for a Hawaii medical card.
Yes. If you are the legal guardian or parent of a minor with a qualifying health condition. Each qualified patient may only have one caregiver.
Caregivers do not have a separate application process. Each caregiver must also be designated by a qualifying patient who is already accepted into the Hawaii Medical Cannabis Registry Program. And the caregiver includes documentation at the same time as the patient applies for a medical card.
Caregivers can request permission to grow cannabis for the minor in their care. However, after December 31, 2023, caregivers will only be permitted to grow cannabis for a patient if they live on an island that does not have a medical dispensary. The application to become a caregiver is available on the Hawaii Medical Cannabis Registry Program website. Caregivers do not have to pay a separate fee. It is included with the patient application fee of $38.50.
The first time patients receive their 329 Registration Card; it expires after a period of one year. However, after the one-year renewal, the Hawaii medical marijuana card has a two-year expiration date. In order for a patient to receive a two-year 329 Registration Card, they must have the approval of the certifying physician or APRN. Patients are permitted to renew their HI medical card up to sixty (60) days prior to expiration.
The renewal fee for a Hawaii 329 Registration card is $38.50 for one year and $77.00 for a two-year medical card. The fees do not include the cost of the medical health evaluation required annually.
The State of Hawaii provides a “Change Form Packet” that patients can use to request a new registration card. It can also be used to update the Hawaii Medical Cannabis Registry Program of a change in legal name or address.
Registered patients are required to notify the MCRP of any changes, or report a lost or damaged card within five days. The cost is $16.50 to request a new card. And your new card will not become valid until the old card expires.
Medical cardholders may visit a local cannabis dispensary to purchase products. Medical dispensaries can also provide suggestions on different types of strains, THC potencies, and intake methods.
Hawaii was the first state in America to legislatively legalize medical marijuana. It was passed by the House of Representatives and Senate in 2000. Governor Ben Cayetano signed Act 228, making Hawaii the eighth state to make medical cannabis legal for patients.
Adult-use marijuana may become legalized in Hawaii in 2022. But historically, there has been more support for medical use. Many communities are opposed to recreational use. However, cannabis has been used as a cultural medicinal in Hawaii for more than two centuries.
February, 2017—Governor David Ige signed Act 228, which included approval for a pilot program to support industrial hemp cultivation and research. All criminal sanctions against growing, processing, or possessing industrial hemp were removed.
Source Web 2021: dpfhi.org
July, 2019—Governor David Ige stated that he would allow small amounts of cannabis for personal use to be decriminalized. However, he would allow it to become law without signing the bill. Effective January 11, 2020, possession of three grams or less of marijuana would be punishable by a $130 fine. Previous to the legal reform, it would carry a sentence of up to thirty (30) days in jail and a fine of $1,000.
Source Web 2021: hawaiipublicradio.org
Hawaii Department of Health Medical Cannabis Registry Program:
Mailing Address: 4348 Waialae Avenue #648, Honolulu, Hawaii 96816
Phone: (808) 733-2177
Website: Hawaii Medical Marijuana Registry Program
The State of Hawaii has a legalized medical marijuana program, which allows patients to receive a medical marijuana recommendation from a certified physician, and apply for a state-issued Hawaii Medical Marijuana ID Card, permitting the patient to grow and/or purchase marijuana for medicinal use, as per Hawaii state guidelines.
Since the Hawaii medical marijuana program is still changing their laws and new Hawaii medical marijuana laws are being enacted on a regular basis, please be sure to visit our site frequently to get the most updated laws as it pertains to the Hawaii medical marijuana program. Please click a corresponding link to find out more about Hawaii’s Medical Marijuana Program. We have compiled the following Hawaii medical marijuana index of information to serve as a medical library to our users for legal reference of Hawaii’s laws, guidelines and program details regarding medical cannabis use in Hawaii.
Please note: In order to become a legal medical marijuana patient you must first have a qualifying condition as outlined by the department of health services and/or department of justice. For a comprehensive list of Hawaii’s qualifying medical marijuana conditions, please visit our qualifying conditions section located on the top of our menu under “legal states”.