7 things to know about Hawaii's medical marijuana program
Hawaii's medical cannabis program is run by the Department of Health's Office of Medical Cannabis Control and Regulation. Patients get a written certification from a physician or advanced practice registered nurse (APRN) who has a genuine provider-patient relationship with them, then register online and pay a $38.50 fee to receive a '329' card. Cardholders can buy from licensed dispensaries or grow up to ten plants. Hawaii is one of the few states that also registers visiting patients from other states for a $49.50 fee. Certifications are usually valid for one year, or up to three years for chronic conditions. Providers may also certify conditions not on the state list.
7 things to know
- Hawaii medical cannabis cards are often called '329 cards' after the state law chapter.
- Both physicians and APRNs can certify patients.
- The first certification can be done by telehealth as long as a genuine provider-patient relationship exists.
- Visitors with a valid out-of-state card can register for a temporary Hawaii card up to twice a year.
- Patients may grow up to 10 plants, and since 2025 a caregiver can grow for them.
- A caregiver can now assist up to five patients instead of one.
- Recreational cannabis remains illegal in Hawaii.
At a glance
- 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
Sources
- Hawaii eHawaii.gov - Medical Cannabis Registry service page
- Hawaii DOH - Qualifying Medical Conditions
- Hawaii DOH - In-State Patient Application
- Hawaii DOH - Out-of-State Patient Application
- Hawaii DOH - Growing Cannabis
- Hawaii DOH - Registry Program Updates
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.