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Updated 30/07/2026
Depending on the type of card obtained, you will need to renew your Hawaii medical marijuana card annually or biennially. The Hawaii Department of Health allows medical marijuana patients to obtain 1- or 2-year cards depending on certain conditions. You may be eligible for a 2-year renewal if you are renewing with the same healthcare provider as in the previous year, the healthcare provider states that your condition is chronic, and the provider agrees that a 2-year registration is in your best interest.
Patients may submit a renewal application beginning 60 days before their current 329 registration expires. The Hawaii Department of Health sends renewal notifications by email approximately 60 days before expiration. Patients should renew during this period to avoid a lapse in registration.
The renewal fee for a Hawaii medical marijuana card for a 1-year registration is $38.50, while a 2-year registration may be renewed for $77. This fee is payable with a debit card, credit card, or direct withdrawal from a savings or checking account. The listed renewal totals already include the portal administration fee. The $38.50 one-year fee includes a $35 Department of Health fee and a $3.50 administration fee, while the $77 two-year fee includes a $70 Department of Health fee and a $7 administration fee. The renewal fee is nonrefundable regardless of the outcome of the application. A temporary out-of-state Hawaii 329 registration costs $49.50 and is valid for up to 60 days. It may be renewed once per calendar year for an additional period of up to 60 days.
Yes, you need a medical provider who is either a physician or an advanced registered practice nurse to issue you a certification each time you need to renew your Hawaii medical marijuana card. The physician or APRN must maintain a bona fide physician-patient relationship with the patient before they may legally issue medical cannabis recommendations. All certifying physicians are required to have Valid Hawaii Medical License Numbers and Valid Hawaii Controlled Substance License Numbers. All certifying APRNs must have Valid Registered Nurse License Numbers and Valid Hawaii Controlled Substance License Numbers.
If your Hawaii medical marijuana card expires, you will no longer be legally permitted to purchase or use medical cannabis in the state. You will need to go through the renewal process, including obtaining a new certification from a medical provider, to regain your legal status. It is essential to keep track of your card's expiration date and start the renewal process well in advance to avoid any disruption in your medical cannabis use.