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Updated 01/10/2026
Qualifying Conditions for Medical Card in Hawaii [2026]
How to Qualify for a Medical Marijuana Card in Hawaii
To qualify for a Hawaii medical cannabis card, a patient may be certified for one of the state’s listed debilitating medical conditions, for a chronic or debilitating condition that produces qualifying symptoms, for another medical condition approved by a qualifying primary treating medical provider, or by a hospice provider while receiving hospice care. Hawaii’s listed conditions include Amyotrophic Lateral Sclerosis (ALS), cancer, epilepsy, glaucoma, HIV/AIDS, lupus, multiple sclerosis, post-traumatic stress disorder, and rheumatoid arthritis. Qualifying symptoms include cachexia or wasting syndrome, severe pain, severe nausea, seizures, and severe and persistent muscle spasms.
Once you meet the eligibility requirements, you must be certified by an eligible Hawaii-licensed physician or Advanced Practice Registered Nurse. The provider must maintain a bona fide provider-patient relationship with you. Certifications for conditions outside the state’s listed debilitating conditions must come from a qualifying primary treating medical provider or hospice provider. After your medical provider submits your certification to the Hawaii Department of Health, you can register through Hawaii’s medical cannabis registry portal and complete your patient registration. Minors who have a qualifying condition can also apply for a medical card with the help of a caregiver, who must submit the application and provide a birth certificate as part of the process.
Hawaii Medical Marijuana 2026 List of Conditions
As of 2026, the qualifying conditions for a medical marijuana card in Hawaii are:
- Amyotrophic Lateral Sclerosis (ALS)
- Cancer
- Epilepsy
- Glaucoma
- HIV / AIDS
- Lupus
- Multiple Sclerosis (MS)
- Post-traumatic stress disorder (PSTD)
- Rheumatoid Arthritis
In addition, if your illness or its treatment produces symptoms such as cachexia or wasting syndrome, seizures, severe and persistent muscle spasms, severe nausea, or severe pain, you may also be eligible for a medical card.
Hawaii Medical Marijuana Card Requirements
To obtain a medical marijuana card in Hawaii, you need to meet the following requirements:
- Be certified for medicinal cannabis by a licensed medical marijuana doctor.
- After your medical provider submits your certification, register through Hawaii’s medical cannabis registry portal.
- A minor patient must have a parent or legal guardian participate as a caregiver. A minor may use an original birth certificate with a unique identification number if the minor does not have an accepted government-issued ID or passport.
How Much Does the Hawaii Medical Marijuana Card Cost
A new in-state Hawaii 329 registration costs $38.50 and is generally valid for one year. Eligible renewal patients may now receive a registration valid for up to three years. A temporary out-of-state registration costs $49.50 and is valid for up to 60 days.
What Documents do I require for the Hawaii medical marijuana card?
To apply for a medical marijuana card in Hawaii, you will need the following documents:
- Certification from a licensed medical marijuana doctor confirming your qualifying condition.
- Registration through Hawaii’s medical cannabis registry portal after your medical provider has submitted your certification.
- For minors, a birth certificate provided by a parent or legal guardian.
I Was Certified By the Hawaii Doctor - What is The Next Step?
After your Hawaii medical provider submits your certification to the Department of Health, you can register through Hawaii’s medical cannabis registry portal, complete the required patient information, and pay the applicable state fee. Finally, you will receive your Hawaii 329 card, which can be downloaded from your Medmj.ehawaii.gov account.
Is Medical Marijuana Legal in Hawaii?
Yes, medical marijuana is legal in Hawaii. Patients with a valid medical marijuana card, also known as a 329 card, can access and use medical cannabis for their qualifying conditions.
Common Questions about the Qualifying Conditions & Requirements for a Medical Card in Hawaii
What are the requirements to get a medical card in Hawaii? 
To get a medical card in Hawaii, you must have a qualifying medical condition and obtain certification from an eligible Hawaii medical provider. Your provider must submit the certification to the Department of Health before you can register through Hawaii’s medical cannabis registry portal and pay the applicable state fee.
What qualifies for medical marijuana in Hawaii?
Hawaii’s listed debilitating conditions include Amyotrophic Lateral Sclerosis, cancer, epilepsy, glaucoma, HIV/AIDS, lupus, multiple sclerosis, post-traumatic stress disorder, and rheumatoid arthritis. A chronic or debilitating condition that causes cachexia or wasting syndrome, severe pain, severe nausea, seizures, or severe and persistent muscle spasms may also qualify. In addition, a qualifying primary treating medical provider may certify another medical condition when the potential benefits of medical cannabis are likely to outweigh the risks. Patients receiving hospice care may be certified by a hospice provider.
What is the monthly limit for medical marijuana in Hawaii?
Hawaii’s maximum possession limit is four ounces of usable cannabis. At licensed dispensaries, a registered patient or caregiver may purchase up to four ounces during a 15-consecutive-day period and no more than eight ounces during a 30-consecutive-day period.
Can you own a gun with a medical marijuana card in Hawaii?
No, federal law prohibits the possession of firearms by individuals who use or possess marijuana, even if it is legally obtained for medical purposes.
Can a minor get a medical marijuana in Hawaii?
Yes, minors can get a medical marijuana card in Hawaii if they have a qualifying condition and a parent or legal guardian to apply for them. The parent or legal guardian must submit the application and provide a birth certificate as part of the process.
Can I go to a dispensary without a medical card in Hawaii?
No, you need a valid medical marijuana card, also known as a 329 card, to access and purchase medical marijuana from dispensaries in Hawaii.
Does insurance cover medical cannabis in Hawaii?
Hawaii law does not require health insurers to cover medical cannabis. Patients should check directly with their insurer regarding any related medical evaluation or certification expenses.
Can a job not hire you if you have a medical card in Hawaii?
While having a medical card should not affect your job prospects, employers in Hawaii have the right to enforce drug-free workplace policies. It is important to be aware of your employer's policies regarding medical marijuana use.
Can you have your medical card and be a nurse in Hawaii?
The Hawaii State Board of Nursing does not currently have specific regulations regarding medical marijuana use by nurses. It is recommended to consult with your employer and the nursing board for guidance on this matter.
Can you get a government job if you have a medical card in Hawaii?
Government job requirements may vary, and it is advisable to consult with the specific government agency regarding their policies on medical marijuana use and employment.
What happens if you fail a drug test but have a medical card in Hawaii?
A Hawaii 329 card does not automatically determine the outcome of an employment drug test. Employers generally may not take action solely because someone is qualified to use medical cannabis, but they may prohibit intoxication during working hours and apply lawful requirements to certain occupations. Depending on the circumstances, an employee with a qualifying disability may also request a reasonable accommodation involving an employer’s drug-testing policy.