Cannabis Legalization and Regulation in Hawaii
Hawaii has not legalized adult-use cannabis. Recreational possession, sale, and cultivation remain illegal under state law. Possession of small amounts (3 grams or less) is decriminalized and punishable by a $130 fine, but larger amounts may result in criminal charges. Efforts to legalize adult-use cannabis have advanced in the legislature but have not been enacted as of 2025.
Medical cannabis was legalized in 2000, making Hawaii one of the earliest states to adopt such a program. Registered patients with qualifying conditions—including cancer, epilepsy, multiple sclerosis, Crohn’s disease, chronic pain, and PTSD—may possess up to 4 ounces of usable cannabis and cultivate up to 10 plants at home. Patients must register with the Hawaii Department of Health’s Medical Cannabis Registry Program and may designate caregivers.
Licensed medical cannabis dispensaries became operational in 2017, providing patients with regulated access to flower, capsules, tinctures, concentrates, and topicals. Smoking and vaporization are permitted for medical use. Dispensaries are overseen by the Hawaii Department of Health’s Office of Medical Cannabis Control and Regulation (OMCCR).
Hemp cultivation and hemp-derived CBD products are legal in Hawaii if they contain no more than 0.3% THC. The state has taken steps to restrict intoxicating hemp cannabinoids such as delta-8 THC, requiring these products to be regulated under cannabis laws rather than sold freely.
For cannabis operators, Hawaii represents a limited but stable medical cannabis market with strict oversight. Licensed operators seeking banking or financial services must provide full compliance documentation, including licensing verification, ownership disclosures, tax IDs, financial statements, and operating agreements. Because transactions remain heavily cash-based, banks and service providers require armored transport, reconciled deposits, AML/BSA monitoring, and audit-ready accounting. Excise tax and general excise tax compliance are also essential to maintaining financial relationships.
The Hawaii Department of Health, through the Office of Medical Cannabis Control and Regulation, oversees the state’s program. For official information, licensing resources, and compliance updates, visit: https://health.hawaii.gov/omccr