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Updated 01/10/2026
Depending on the registration period approved, you may need to renew your Hawaii medical marijuana card annually or every three years. Under the updated process, eligible patients may qualify for a three-year certification and registration period.
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 one-year Hawaii 329 registration is $38.50. Eligible patients may qualify for a three-year renewal period under the updated program. 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. Patients qualifying for a three-year renewal should verify the applicable fee through the Hawaii Department of Health. 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 must obtain a new medical certification from an eligible physician or Advanced Practice Registered Nurse when renewal certification is required. Your medical provider must submit the certification to the Hawaii Department of Health before you can complete your renewal registration. 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, beginning with obtaining a new certification from an eligible medical provider before completing your renewal registration with the Hawaii Department of Health. 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.