33,424
Registered Patient Population
2.27%
of Total Population Represented by Patients
20
Total Medical Retail Locations Currently in Operation
167,120 : 1
Patients : Retail

Medical cannabis is legal in Hawaii, patients and caregivers may purchase from a dispensary or cultivate up to seven plants at home. Possession for patients and caregivers is limited to 4 ounces. Patients report access issues stemming from limited dispensaries, with some islands lacking one entirely. Patients visiting Hawaii can apply online for a 60 day registration card; the card costs a $49.50 fee and allows visitors to shop at Hawaii’s dispensaries.

Patient Rights and Civil Protections 70/100   
Arrest Protection 25/25
Affirmative Defense 20/20
Parental Rights Protections 20/20
Employment Protections 0/20
DUI Protections 0/10
Explicit Privacy Standards 5/5
Access to Medicine 45/100   
Authorizes Retail Access 10/10
Alternative Accessibility Methods 0/20
- Authorizes Delivery 0/10
- Authorizes Curbside Pickup 0/10
Personal Cultivation 15/15
Collective Gardening 5/5
Sufficient Number of Licenced Retailers 5/30
Reciprocity 10/20
Program Functionality 62/100   
Legal Protections Within Reasonable Time Frame 15/20
Reasonable Possession Limits 10/10
Reasonable Purchase Limits 10/10
Telemedicine for Physician Certifications 7/15
Patient and Physician Representation in Program Decision Making 0/20
Reasonable Caregiver Standards 5/5
- Background Checks 2/2
- Number of Caregivers 3/3
Reasonable Physician Standards 5/5
Access to Administration Methods 10/10
- Allows Dried Flower 5/5
- Allows Edibles, Concentrates, and Other Forms 5/5
Provides Access to Minors on School Grounds 0/5
Affordability 45/100   
Sales Tax Break for Patients and Caregivers 15/20
Covered by State Insurance or Health Aid 0/20
Reasonable Registration Fees 20/20
Financial Hardship Waivers or Discounts 0/20
Donation Program 0/10
Allows Multi-Year Registrations 10/10
Health and Social Equity 72/100   
State Program Protections 25/25
Housing Protections 20/25
Access for Minors 10/10
Access in Underserved Areas 2/10
List of Qualifying Conditions is Exhaustive or All Inclusive 5/10
Allows Patients to Medicate Where they Choose 5/10
Organ Transplants 5/5
Ownership or Employment Restrictions 0/5
Consumer Protection and Product Safety 150/200   
Cultivation Operations 42/50
Quality Management Systems 10/10
Staff Training 10/10
Standard Operating Procedures 7/8
- Facility and Equipment Sanitation 1/1
- Workplace Safety 1/1
- Storage 1/1
- Batch and Lot Tracking 1/1
- Security 1/1
- Waste Disposal 1/1
- Water Management 0/1
- Records Management 1/1
Pesticide Usage Limitations 1/2
Environmental Impact Regulations 0/2
Required Testing 7/8
- Cannabinoids 1/1
- Terpenes 0/1
- Microbials 1/1
- Aflatoxins 1/1
- Pesticides 1/1
- Heavy Metals 1/1
- Foreign Matter 1/1
- Moisture Content/ Water Activity 1/1
Packaging and Labeling 1/3
- Cannabinoids 1/1
- Terpenes 0/1
- Pesticides 0/1
Complaints, Adverse Event Reporting, and Recall Protocol 6/7
Manufacturing Operations 41/50
Quality Management Systems 10/10
Staff Training 10/10
Standard Operating Procedures 7/7
- Facility and Equipment Sanitation 1/1
- Workplace Safety 1/1
- Storage 1/1
- Batch and Lot Tracking 1/1
- Security 1/1
- Waste Disposal 1/1
- Records Management 1/1
Environmental Impact Regulations 0/3
Required Testing 7/10
- Cannabinoids 1/1
- Terpenes 0/1
- Microbials 1/1
- Aflatoxins 1/1
- Pesticides 1/1
- Heavy Metals 1/1
- Residual Solvents 1/1
- Homogeneity 0/1
- Foreign Matter 1/1
- Water Activity 0/1
Packaging and Labeling 3/5
- Cannabinoids 1/1
- Terpenes 0/1
- Ingredients 1/1
- Allergens 1/1
- Nutritional Content 0/1
Complaints, Adverse Event Reporting and Recall Protocol 4/5
Dispensary Operations 39/50
Staff Training 20/20
Standard Operating Procedures 7/7
- Facility Sanitation 1/1
- Workplace Safety 1/1
- Storage 1/1
- Batch and Lot Tracking 1/1
- Security 1/1
- Waste Disposal 1/1
- Records Management 1/1
Product Testing 0/10
- Product Meets Requirements Before Sale 0/5
- COA Disclosure 0/5
Complaints, Adverse Event Reporting and Recall Protocol 12/13
Laboratory Operations 28/50
Independent or Third-Party 5/5
Laboratory Sampling 5/5
Method Validation 4/4
Quality Management Systems 3/5
Staff Training 10/20
Standard Operating Procedures 1/7
- Facility and Equipment Sanitation 0/1
- Equipment and Instrument Calibration 0/1
- Workplace Safety 0/1
- Sample Tracking 1/1
- Security 0/1
- Waste Disposal 0/1
- Records Management 0/1
Result Reporting 0/4
Score Penalties 0/100   
Gives Regulatory Preference to Adult Use 0/20
Classifies Cannabis as a Medicine of Last Resort 0/15
Administrative or Supply Problems 0/15
Requires Vertical Integration 0/10
Creates New Criminal Penalties for Patients 0/10
Limits Patients to a Single Retailer 0/10
No System for Adding Qualifying Conditions 0/10
Imposes Bans or Limits on THC 0/5
Imposes Bans or Limits on CBD 0/5
Excerpted from ASA's 2022 State of the States Report.
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