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Home /Renewal

Updated 01/10/2026

How To Renew Hawaii Medical Marijuana Card Online

How to Renew Hawaii Medical Marijuana Card in 2026

  • Contact your medical provider for re-certification: Schedule an appointment with your healthcare provider to obtain a medical cannabis recertification. Your provider may offer a telehealth option to save you the need for a physical visit.
  • Complete your renewal on the Hawaii Medical Cannabis Portal: After your medical provider submits your recertification to the Hawaii Department of Health, log in to the state medical cannabis registry portal, update your information, upload any required documents, and submit the applicable fee payment.
  • Wait for approval: Your card will typically be available within a few business days. Download and print the card from your profile on the medical marijuana registry.

How often do you have to renew your Hawaii medical marijuana card?

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.

When To Renew Your Medical Card in Hawaii?

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.

What Is The Cost To Renew Medical Marijuana Card in Hawaii?

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.

Do I Need To See a Doctor To Renew My Medical Marijuana Card in Hawaii?

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.

What Happens If My Hawaii Medical Marijuana Card Expires

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.

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