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Benefits of Getting a Card

Wondering how a medical marijuana card in Hawaii can transform your cannabis experience?

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State-Specific Steps

Embarking on your journey to relief in Hawaii is simple. Let our caring specialists guide you through the state-specific steps to obtain your medical cannabis card.
  1. 1

    Register Online With Leafwell

    Leafwell is coming to Hawaii soon! Join our waitlist to be notified when we’re live in the state.

    Once we’re live, you will be able to create an account online, speak to a healthcare provider, and qualify for a Hawaii medical marijuana card. You are only billed if approved.

  2. 2

    Discuss Medical Marijuana With Your Doctor

    During your appointment, a Leafwell provider will ask you questions based on your medical history and provide you with advice and guidance on whether medical marijuana is a good option for you.

  3. 3

    Submit Your State Application

    After your appointment, you’ll receive an email with steps to guide you through the state application process. The state will then contact the physician to verify that they have approved you.

  4. 4

    Receive Your Blue Card From the State of Hawaii

    The state will review your application, and you will be emailed once approved. You can then login and download a copy of your card. There is a $38.50 fee.

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What You Need to Know

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    Eligibility / Patient

    Anyone 18 or older with a qualifying condition can apply for a medical marijuana card in Hawaii. Patients under 18 will need a caregiver.

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    If the patient requiring medical cannabis is a minor or needs assistance accessing their medication, they will need a caregiver. Caregivers must be 18 or older.

  • minors medical cannabis

    Can Minors Qualify?

    Yes. Minor patients must have a caregiver to apply for a medical cannabis certification.

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Legal Topics

Hawaii has had a medical marijuana program for quite some time, starting in 2000. However, accessing medical cannabis was tricky, and patients and caregivers had to grow their own if they wanted their medicine.

Patients or caregivers can grow up to 10 mature plants. Patients can designate a grower on their application. Each plant should be tagged at the base with the patient’s 329 Card number.

They can register their grow site information as part of the application, including filling out a grow site certification.

Plants must be kept at the patient’s or designated caregiver’s residence or another site owned or controlled by either of those people.

It wasn’t until 2015 that Hawaii’s dispensary program was established, and the first dispensary began operating in 2016.

Timeline of Events

  • 2000 – Governor Ben Cayetano signs Act 228 into law.
  • 2015 – Act 241 is passed, legalizing medical marijuana dispensaries in Hawaii.
  • 2016 – Senate Bill 321 (SB 321) established a dispensary system, allowing eight dispensaries in the state designated by the island.
  • 2016 – Governor David Ige signs Act 228, creating a pilot program allowing the Hawaii Department of Agriculture to oversee the cultivation of industrial hemp for agricultural or academic research.
  • 2017 – The first legal dispensary sale took place in Maui.
  • 2019 – Governor David Ige announced that he would let a legislature-passed bill to decriminalize small amounts of cannabis become law without signing it.
  • 2021 – Decriminalization of cannabis. Possession of three grams or less of marijuana is punishable by a $130 fine, up to 30 days in jail, and a fine of up to $1,000.
  • 2021 – Recreational cannabis legalization bill fails to make it past the House of Representatives.

Non-medical adult use of cannabis is illegal in Hawaii. Possession of three or fewer grams of cannabis flower is decriminalized.


Caregivers may only serve one patient at a time. There is no registration fee for caregivers. Patients must designate a caregiver on their application form if they need one. Beginning in 2024, caregivers will not grow medical cannabis except for minors/adults lacking legal capacity and on islands that do not have a dispensary.


An out-of-state qualifying patient and caregiver may register with the Hawaii health department as an out-of-state patient if they are on the islands for fewer than 120 days per year.

This reciprocity is one key benefit for medical marijuana users. Unlike recreational cannabis users, medical marijuana users with a medical marijuana card can travel to some other states and purchase the medical marijuana they require while they are out of state.

Cardholders from other states can register for an Out-of-State Patient (OSP) card by completing paperwork and submitting a $49.50 fee.

OSP General Information

  • The application process is completed online by creating a medmj.ehawaii.gov account.
  • OSPs may apply for up to two 60-day terms in a calendar year.
  • A start date is required for the term to begin.
  • You may apply 60 days before the requested start date.
  • The application fee is $49.50 and is non-refundable.
  • Electronic access to the Hawaii 329 Registration card will be provided upon approval via your medmj.ehawaii.gov account.
  • Minors can apply for an OSP, too.

OSP Requirements

1. Valid medical cannabis registration card issued by another U.S. state, territory, or District of Columbia government.

    • If your home state’s medical cannabis card does not have the expiration date on it (e.g., New York), please upload additional documents that state the expiration date of your registration in the “other documents” section in the Hawaii online application.
    • Physician certifications or recommendations are not accepted in place of state government-issued medical cannabis cards.

2. Valid government-issued state ID or driver’s license from the same U.S. state, territory, or District of Columbia with the same name on the medical cannabis registration card.

3. Certified in your home state as having one or more debilitating medical conditions identified in Hawaii State Law


How much does a Hawaii Medical Marijuana certificate and card cost?

Leafwell’s services are not yet available in Hawaii. Once we open, a consultation with a Hawaii medical provider with Leafwell will be $149. This is a virtual consultation where you can discuss your needs for a medical card. The certificate is valid for one year.

The application fee for a card is $38.50. For replacements, there is a fee of $16.50.

What medical conditions qualify for a Medical Marijuana Card in Hawaii?

In Hawaii, the following conditions may qualify you for a medical marijuana certificate and card:

What do I need to know about applying for my Medical Cannabis Card in Hawaii online?

We are unable to provide Hawaii patients online medical marijuana consultations at this time.

Telehealth is operational in Hawaii. You can speak to a physician, fill out an application form and submit it with relevant ID + supporting documents, and see if you qualify. Once you have a card, you can purchase or cultivate cannabis legally.

How old do I have to be to apply for a Medical Marijuana Card in Hawaii?

You must be aged 18 or over in order to qualify for a medical marijuana card for yourself in Hawaii.

Can I be/have a caregiver for a medical marijuana patient in Hawaii?

Yes. Caregivers in Hawaii must be aged at least 18 years-old or older. To apply as a caregiver, follow this process:

  1. Caregivers must be designated by the qualifying patient on the application.
  2. Attend appointment with the patient.
  3. Get certified.
  4. Register with the Hawaii Department of Health (DoH)

Caregivers may only have one (1) patient at a time. No registration fee for caregivers – patients must designate a caregiver on their application form if they need one. After December 31, 2023, caregivers will not be allowed to grow medical cannabis except for minors/adults lacking legal capacity and on islands that do not have a dispensary. Further information here https://health.hawaii.gov/medicalcannabisregistry/patients/information-for-caregivers/.