What Conditions Qualify for Medical Card in Hawaii (2025)

How Many Medical Conditions Qualify for Medical Marijuana Treatment in Hawaii?

Hawaii allows recommending healthcare providers to certify their patients for any condition they consider debilitating enough to benefit from cannabis use. Previously, Hawaii’s cannabis laws identified 10 diseases and five symptomatic outcomes as qualifying medical conditions for medical marijuana treatment. However, this changed in July 2025 when the state’s governor signed HB 302 into law.

Qualifying Conditions for Medical Card in Hawaii 2025

Currently, the Hawaii Cannabis Registry Program allows eligible recommending providers to rule medical conditions as qualifying for its medical marijuana card. The state only requires that the certifying provider have a previous care relationship with the patient and that they determine that the benefits of medical cannabis use outweighs its risks.

Does Hawaii Add New Qualifying Conditions to its Medical Marijuana Program?

With the passage of HB 302, there is no longer a need to update Hawaii’s list of qualifying conditions for medical marijuana. When the state solely relied on a list of qualifying medical conditions, its Department of Health regularly accepted and reviewed petitions for new additions to the list.

Does Hawaii Allow Physicians to Recommend Medical Cannabis for Non-Qualifying Conditions?

Yes. Physicians in Hawaii can recommend medical cannabis use for medical conditions besides the ones identified in the state’s medical cannabis law if they believe such conditions are chronic or debilitating.

Do You Need a Doctor’s Recommendation for Medical Marijuana in Hawaii?

Yes. Hawaii requires patients applying for its 329 (medical marijuana) card to provide a written physician certification confirming their diagnosis of at least one of the qualifying conditions required for medical cannabis treatment. Hawaii accepts written medical marijuana certifications from state-licensed:

• Doctors of Medicine (MDs)
• Doctors of Osteopathic Medicine (DOs)
• Advanced Practice Registered Nurses (ARPNs)

In addition to having a valid Hawaii Medical or RN license, a certifying health provider must also have a valid Hawaii Controlled Substance License Number. They must also have a bona fide provider-patient relationship with the individual they recommend for medical marijuana use.

Who Qualifies for a Medical Marijuana Card in Hawaii?

Besides a written physician certification attesting that an individual has a qualifying debilitating condition, Hawaii has no age or residency restriction for issuing its 329 card. However, minors need the consent of their parents or legal guardians to register in the state’s medical marijuana program. Hawaii issues its medical marijuana card to residents and non-residents. However, a non-resident applying for a 329 card must:

• Have a valid medical cannabis registration card issued by their home state
• Be certified as having one or more of the qualifying conditions recognized in Hawaii
• Be certified in their home state for medical cannabis use because they have one or more of the qualifying conditions recognized in Hawaii