Getting a Medical Marijuana Card in Hawaii

Hawaii was one of the first US states to make marijuana legal for medical consumption. Despite this, it is only recently that Hawaii has had its first medical marijuana dispensary approved. On top of this, there are laws against the transportation of cannabis. This means that, for many years, people with Medical Marijuana Cards could use cannabis but either had to grow their own or buy from the black market.

For anyone looking to come to California who’s in need of a Medical Marijuana Card, book an appointment and have a chat with Leafwell online.

For the moment, a patient with a valid Hawaiian Medical Marijuana Card can possess up to four ounces. Up to seven mature plants can be cultivated at home. There are no active dispensaries in Hawaii at the moment, as there is no laboratory to test the quality of the product sold by dispensaries (a legal requirement), and all applications to open a dispensary so far have been rejected excepting one: the yet-to-be-set-up Maui Wellness Group.

However, those who need a Medical Marijuana Card can apply for one, and it is recommended they do so in order to afford themselves at least some protection from the conflict between state and federal law surrounding marijuana’s status in Hawaii. Here’s how to apply for one:



Telehealth/telemedicine available. However, relationship must first be established between patient and physician in-person.

How Old Do I Have to Be to Apply for a Medical Marijuana Card?

18 years old or over. Caregivers must be 18 years old or over.

How Long Does it take to Get My MMJ Card?

14 – 30 days



Possession Limit (Medical Marijuana Patients)

4 ounces. If the patient has a caregiver, 4 ounces is the maximum amount that can be possessed jointly.

Qualifying Conditions

  • Cancer
  • Severe autism
  • Chronic and/or severe pain
  • Rheumatoid arthritis
  • Multiple sclerosis (MS), or any condition that causes severe and persistent muscle spasms
  • Lupus
  • Crohn’s disease
  • Cachexia or wasting syndrome
  • Severe nausea
  • Seizures, such as those caused by epilepsy
  • Post-Traumatic Stress Disorder (PTSD)


Medical Marijuana Laws

2000 – Governor Ben Cayetano signs Senate Bill 862 (SB 862), removing state-level penalties for the use, possession and cultivation of cannabis by those with a signed statement from a physician recommending cannabis for their condition.

2013 – House Bill 668 (HB 668) is amended, transferring the medical marijuana program from the Department of Public Safety to the Department of Public Health from 2015 onwards. A medical marijuana registry fund is also implemented to pay for the program.

2015 – Senate Bill 642 (SB 642) is amended, defining the a patient’s “adequate supply” as seven plants or less, regardless of the maturity of the cannabis plant.

2015 – PTSD is added to the list of debilitating conditions.

Possession of cannabis by those without a valid Hawaiian medical marijuana card (there’s no reciprocity in Hawaii) is still illegal.

Possession of under an ounce is considered a misdemeanor and can bring up to 30 days’ incarceration and/or a $1,000 fine. Possession of up to 1 pound is also a misdemeanor and can bring the prison sentence up to 1 year incarceration and/or a $2,000 fine, similar to the sale of less than one ounce or possession of less than ⅛ of hashish or concentrate.

Cultivation without a valid MMJ card is a felony and can bring with it incarceration of up to 5 years and/or a $10,000 fine. Use, possession or sale of paraphernalia brings similar sentences.

A medical marijuana card in Hawaii is sometimes also referred to as a “329 card”.

Commercial production will likely bring higher sentences.

Vehicles and other property may be seized as part of court proceedings.


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