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Conditions · Hawaii

Does ALS (Lou Gehrig's disease) qualify in Hawaii?

By MyMMJRx Editorial Team · Updated · 5 min read

Yes. The Hawaii Medical Cannabis Registry Program lists Amyotrophic lateral sclerosis (ALS) as a qualifying condition. A Hawaii-licensed provider still has to evaluate you and agree that cannabis is appropriate.

About ALS (Lou Gehrig's disease)

A progressive disease that destroys the nerve cells controlling muscles, causing weakness, cramps and trouble swallowing.

Not enough research. Research is limited to small studies. Patients mainly use cannabis for cramps, spasticity, appetite, drooling and sleep.

Symptoms Hawaii patients most often hope to ease:

  • Painful muscle cramps and twitching
  • Stiffness and spasticity in the arms and legs
  • Loss of appetite and unwanted weight loss
  • Trouble falling or staying asleep
  • Excess saliva and drooling
Before you start. Sedating effects can add to breathing weakness, so tell your doctor about any breathing problems, sleep apnea or use of a breathing machine. Smoking or vaping can irritate the airways and is generally avoided when lung function is reduced.

Read more: medical marijuana for ALS (Lou Gehrig's disease).

How to get certified in Hawaii

  1. Create an account on the state's online medical cannabis registry portal.
  2. See a Hawaii physician or APRN (in person or by telehealth) who establishes a bona fide relationship with you.
  3. Your provider submits a written certification of your qualifying condition through the registry.
  4. Complete your patient application, including caregiver and grow-site details if you plan to grow.
  5. Pay the $38.50 application fee online.
  6. Once approved, download or print your 329 card and use it at licensed dispensaries.

Hawaii allows the evaluation by telehealth, so you can see a Hawaii-licensed provider by video. Our evaluation starts at $79 and is charged only if you're approved.

Costs and timeline

  • State fee: $38.50
  • Card lasts: 1 year (up to 3 years if the provider states the condition is chronic)
  • Processing: Often within days online
  • Patient limit: Up to 4 ounces of usable cannabis (shared between patient and caregiver)
  • Home grow: Up to 10 plants (mature or immature) per patient at a registered grow site
  • Recreational sales: Not legal
  • First visit online: Yes

See the full Hawaii cost breakdown and Hawaii program overview.

Other qualifying conditions in Hawaii

ALS (Lou Gehrig's disease) in nearby states

Frequently asked questions

Do I need medical records for ALS (Lou Gehrig's disease)?

Helpful records include: a diagnosis letter or clinic notes from your neurologist or ALS clinic confirming ALS; a current list of all your medicines, including riluzole, edaravone, muscle relaxants and sleep aids; recent notes on breathing tests and swallowing assessments, if you have them. Many patients are still evaluated on their history alone, and your Hawaii provider will tell you if more is needed.

How long does certification take in Hawaii?

The provider visit takes about 15 minutes. Often within days online.

Can I renew online in Hawaii?

In most cases, yes. Patients re-apply through the online registry before their card expires, with a new provider certification and another $38.50 fee. Cards for chronic conditions may be issued for up to three years.

Sources

This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.

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