Hawaiʻi Medical Cannabis Program — Frequently Asked Questions

1. What is the Hawaiʻi 329 Card?
The 329 Card is the official registration issued by the Hawaiʻi Department of Health (DOH) that allows qualified patients to legally access medical cannabis under Hawaiʻi’s medical cannabis laws.

2. Who qualifies for a 329 Card?
You qualify if a licensed Hawaiʻi physician or APRN certifies you have a condition that can benefit from medical cannabis. As of recent updates, your provider no longer needs to match a fixed list of qualifying conditions—they may certify you for any medical condition they believe cannabis could help.

3. How do I apply?

• Schedule an appointment with a certifying medical provider.

• Create an account on the Hawaiʻi Medical Cannabis Registry portal.

• Complete the online application and pay the state fee.

• Submit documents (valid ID, etc.).

• The provider submits the certification, then the DOH reviews the application.

• Once approved you’ll receive an email notification and can download your electronic 329 Card.

4. Can someone use telehealth for their evaluation?
Yes. Telehealth evaluations are allowed for new certifications and renewals, provided the provider-patient relationship is legitimate and meets DOH requirements.

5. What are the possession and purchase limits?

• Registered patients (and their caregiver, if applicable) may possess up to 4 ounces of usable cannabis at any time.

• Licensed dispensaries can sell up to 4 ounces within any 15-day period and 8 ounces within any 30-day period to a registered patient.

6. May I grow my own medical cannabis?
Yes—if you register your intent to cultivate and comply with state rules:

• Up to 10 cannabis plants (mature or immature) total for the patient and caregiver (if applicable).

• The grow site must be declared, the address must match your registration.

• Each plant must be tagged with your registration number and expiration date.

• Inter-island transport of your grow/cultivated cannabis is prohibited.

7. What about caregivers?

• A designated caregiver may assist the patient in obtaining, possessing, and (in specific cases) cultivating medical cannabis.

• A caregiver may serve up to five qualifying patients under current law.

• Caregiver cultivation is permitted only under certain conditions (such as patient is a minor or lives where no dispensary exists) and must follow the same limits for plants and usable cannabis.

9. Can out-of-state (visiting) patients participate?
Yes. Out-of-state patients can apply for a temporary registration to access Hawaiʻi-licensed medical cannabis dispensaries while visiting. They must already hold a valid medical cannabis card from another U.S. state. Out-of-state patients are not permitted to cultivate cannabis in Hawaiʻi.

10. Where can I not use medical cannabis?
You may not use medical cannabis:

• In public places (parks, beaches, school grounds, workplaces, vehicles).

• On federal property.

• In any location where smoking/vaping is prohibited under Hawaiʻi’s smoke-free laws.
  You must carry your valid 329 Card (printed or digital) when in possession of medical cannabis.

11. When and how do I renew my 329 Card?

• You may renew starting approx. 60 days before your current card expires.

• The renewal process mirrors the initial application: update your information, pay fee, see your provider (telehealth may apply).

• Some patients may qualify for multi-year registries (subject to provider recommendation and DOH rules).

• Any changes to your address, caregiver, or grow site must be reported to the DOH (within defined timelines).

12. What happens if I don’t follow the rules?
Non-compliance (cultivating without registration, exceeding possession/grow limits, using in prohibited locations, not updating site/caregiver info) can lead to revocation of your registration, fines, or other legal consequences.