What’s New

Effective July 5, 2018:

Act 116 SLH 2018 – Makes several changes to the current law:

  1. Extends the validity of the certification with the concurrence of the patient and patient’s physician/APRN.
  2. Safe Pulmonary Administration (SPA) products have been added to the list of approved “merch” licensed medical cannabis retail dispensaries may sell to qualifying patients.
  3. Patients who are registered for medical cannabis use in other states may be able to benefit from our program while visiting the islands.
  4. One or both parents/guardians are now allowed to register as caregivers for one or more qualifying minor patients.
  5. The bona fide provider-patient relationship may continue via telehealth after the relationship has been established by a face-to-face consultation.

Although the changes above are effective July 5, 2018, significant changes to our online system are in various stages of development and we hope to start rolling out the enhancements starting January, 2019. Thank you for your patience.


Effective June 29, 2017:

  1. Plant count increased from 7 to 10 per registered patient.
  2. New Conditions include lupus, epilepsy, multiple sclerosis, [and] rheumatoid arthritis are now eligible conditions that physicians and APRNs can certify patient’s for.  NOTE: we are working to implement this change in our online application.  If you suffer from or are certifying a patient who suffers from one of these conditions, please email us at medicalcannabis@doh.hawaii.gov so we can advise you of progress being made toward the implementation of this change.
  3. Caregivers can cultivate for patients until December 31, 2023.
  4. Grow site limits (no more than 5 registered patients per grow site location) will be enforceable effective December December 31, 2023.


Effective July 1, 2016, appropriately licensed APRNs are able to use the SAME process as physicians to certify patients for the Medical Cannabis Registry Program.  A certifying APRN must be a Hawaii-licensed Advanced Practice Registered Nurse with prescriptive authority and who is registered with the Department of Public Safety to prescribe controlled substances.

APRNs interested in certifying patients for the Medical Cannabis Registry Program should review the Medical Cannabis Registry website (https://health.hawaii.gov/medicalcannabisregistry) under Certifying Physicians/APRNs for general information as well as training documents and links to video tutorials.  The process is the SAME as it is for physicians so any reference to a certifying physician is also applicable to a certifying APRN (aside from the different licensing requirements).

Effective January 1, 2016, ALL applications MUST be submitted electronically.  This will require patients to create a secure account, enter their own personal data (name, address, grow site location, etc.) and that of their caregiver, if applicable, and make the required payment of $38.50 ($35 application fee + $3.50 portal administration fee) electronically.  All initial application and renewal application fees MUST be paid electronically via credit/debit card or direct withdrawal from a savings or checking account.  Fees are non-refundable, even if a card is NOT issued.  Physicians will still be required to certify the patient’s debilitating medical condition AND “submit” the electronic application to DOH.   Click here for Registration Information.

Electronically certified (signed and certified by the physician electronically) 329 Cards will be mailed directly to the patient.

To avoid delays, applicants should be sure to use a valid (complete AND correct):

  1. email address,
  2. mailing address, and
  3. phone number


Renewal applicants, be advised that if you use a different valid ID to register (different than the one you used the prior year), your 329 card will take an additional 5 – 10 business days to process.  If possible, use the same valid ID.  If this is not possible, please be patient as staff will need to pull your prior records from storage to verify the renewal before we can issue your new 329 Card.

DOH recommends that applicants check their account at medmj.ehawaii.gov WEEKLY for registration status updates.

Effective October 10, 2016, DOH’s Administrative Rules for the Medical Use of Cannabis are amended to allow DOH to disclose certain registration information to authorized persons associated with medical cannabis dispensary system and federal law enforcement officials for official law enforcement purposes.  Read Chapter 11-160-56, HAR, Amendments to Confidential Information.

Effective July 18, 2015, DOH’s Administrative Rules for the Medical Use of Cannabis are established: Click here to read Chapter 11-160, HAR signed by Governor David Ige on July 6, 2015. All interested parties, patients and caregivers are advised to read through the new rules as ignorance of the law is not an acceptable defense for violating it.  Read more about the DOH Administrative Rules Timeline.

Noteworthy changes made by Chapter 11-160, HAR, include:

Possession of 329 Registration Cards – REQUIRED– Contrary to what some physicians are advising their patients, the new DOH rules require that patients possess their registration cards whenever in possession of medical cannabis.  This requirement protects valid patients and caregivers.

Tagging Plants – REQUIRED – The new DOH rules require the person who has been designated with the DOH to cultivate cannabis have a legible identification tag, in a form and manner as determined by the DOH, on each cannabis plants being cultivated for the qualifying patient. (see Tagging Guidelines)

Strengthened Physician-Patient Relationship – REQUIRED – The new DOH rules added a definition of “bona fide physician-patient relationship” and require that certifying physicians have such a relationship with the qualifying patient. “Bona fide physician-patient relationship” means a relationship in which the physician has ongoing responsibility for the assessment, care, and treatment of a qualifying patient’s debilitating medical condition with respect to the medical use of cannabis which means (at a minimum):

  1. The physician has completed a full assessment of the qualifying patient’s medical history and current medical condition, including conducting a review of the qualifying patient’s medical records related to the debilitating condition as medically appropriate and conducting an in-person physical examination;
  2. The physician provides follow up care and treatment as medically appropriate to the qualifying patient and assesses the qualifying patient’s condition during the course of the qualifying patient’s medical use of cannabis; and
  3. The physician maintains records of the qualifying patient’s treatment and condition in accordance with medically accepted standards.


Process to Add New Conditions – Subchapter 2 of Chapter 11-160, HAR, defines a new petition process by which medical conditions may be added by the DOH to the list of debilitating medical conditions that are defined in the law. The petition process is an annual process.  See Petition Process for more information.


It’s NOT okay to drive a motor vehicle when under the influence of medical cannabis.