Last verified: March 2026
Hawaii Medical Cannabis Patient Registry
The Hawaii Department of Health (DOH), through the Office of Medical Cannabis Control and Regulation (OMCCR), administers the state's 329 card program. Hawaii was the eighth state to legalize medical cannabis (Act 228, 2000) and the first to do so through its legislature rather than a ballot initiative.
| Current Patients | Approximately 30,000+ active 329 cardholders (peak: ~35,444 in Aug 2021) |
|---|---|
| Phone | (808) 733-2177 |
| medicalcannabis@doh.hawaii.gov | |
| Online Registry | medmj.ehawaii.gov |
| OMCCR Website | health.hawaii.gov/medicalcannabis |
| Provider Directory | Find a Medical Provider |
Qualifying Conditions
As of July 2025 (Act 241), Hawaii's medical cannabis program is open to any medical condition that a licensed healthcare provider certifies could benefit from cannabis treatment. This was a landmark expansion — prior to Act 241, patients needed one of a limited list of qualifying conditions.
This means your healthcare provider has full discretion to certify you for a 329 card based on your individual medical needs. Telehealth certifications are now permitted for initial visits, making the process more accessible across all islands.
329 Card Costs
| Item | Cost |
|---|---|
| 329 card (1 year) | $38.50 ($35 DOH + $3.50 admin) |
| 329 card (2 years, renewal with chronic condition) | $77.00 |
| 329V visitor card (60 days) | ~$49.50 |
| Provider certification (maximum) | ~$115.50 (capped at 3× DOH fee) |
The DOH fee for a 329 card is $38.50 per year (includes $35 DOH fee + $3.50 administrative fee). Patients with chronic conditions can obtain a 2-year card for $77. Provider certification fees are capped at approximately $115.50 (three times the DOH fee).
Grow site registration is included in the card fee — there is no separate fee to register a cultivation site.
Card Renewal
329 cards are valid for 1 or 2 years depending on the registration option selected. Here is what you need to know about renewal:
- 60-day renewal window. You can begin the renewal process up to 60 days before your card expires. Starting early ensures no gap in your legal protection.
- New provider certification required. You must obtain a new certification from a licensed healthcare provider. Telehealth evaluations are now accepted.
- Submit through the online portal. Renew at medmj.ehawaii.gov.
- Same fee structure. $38.50 for one year, $77 for two years (chronic conditions).
Patient Possession & Cultivation Limits
| Category | Limit |
|---|---|
| Usable cannabis possession | 4 ounces |
| Dispensary purchase (per 15 days) | 4 ounces |
| Home cultivation (plants) | 10 plants (no mature/immature distinction) |
| Grow sites per patient | 1 registered site |
| Caregiver patients | Up to 5 (Act 046, 2025) |
Caregiver Program
Registered caregivers play an important role in Hawaii's medical cannabis program, assisting patients who cannot obtain or administer cannabis on their own. Key caregiver rules:
- Age requirement: Must be 18 years or older
- Patient limit: Up to 5 patients per caregiver (expanded by Act 046, 2025)
- Registration: Caregivers register through the same DOH portal and are listed on the patient's 329 card
- Responsibilities: Caregivers may purchase cannabis at dispensaries, cultivate plants, and transport cannabis on behalf of their registered patients
Patient Protections
Hawaii provides several important legal protections for registered 329 cardholders under Act 242 (2015) and subsequent legislation:
- Education: Registered patients cannot be denied access to educational institutions solely because of their medical cannabis use
- Housing: Landlords cannot refuse to rent to a tenant solely based on their status as a registered medical cannabis patient
- Medical care: Healthcare providers cannot deny treatment to patients based on their participation in the medical cannabis program
- Child custody: Medical cannabis use alone cannot be the sole basis for denying custody or visitation rights
Finding a Healthcare Provider
The DOH maintains an official provider directory to help patients find a licensed healthcare provider who can issue 329 card certifications:
With telehealth now permitted for initial certifications, patients on all islands — including rural areas of the Big Island, Molokai, and Lanai — have improved access to certifying providers.
Cannabis Education: Conditions, Dosing & Safety
Our partner site TryCannabis.org provides free, research-backed educational content on medical cannabis topics including:
- Condition-specific guidance for anxiety, chronic pain, insomnia, PTSD, and epilepsy
- Dosing fundamentals and microdosing strategies
- Methods of consumption and how to read lab results
- CBD vs. THC, cannabinoids, and terpenes
- Safety information including drug interactions, cardiovascular risks, and driving impairment
- A dedicated clinician section for healthcare providers
Patient Support Organizations
- Medical Cannabis Coalition of Hawaii (MCCHI) — mcchi.org — patient and caregiver advocacy network
- Drug Policy Forum of Hawaii (DPFH) — dpfhi.org — since 1993, policy reform and patient rights
- Hawaii Alliance for Cannabis Reform (HACR) — acluhi.org — broad coalition including ACLU of Hawaii, MPP, Last Prisoner Project
The Hawaii Department of Health OMCCR administers the 329 card program. Act 241 (2025) expanded qualifying conditions to include any condition certified by a provider. Card fees are $38.50/year (1-year) or $77 (2-year chronic).
Hawaii Department of Health — OMCCR
For in-depth cannabis education, dosing guides, safety information, and research summaries, visit our partner site TryCannabis.org