HawaiiHB 3022025–2026 Regular Session (Year 1)HouseWALLET

RELATING TO CANNABIS.

Sponsored By: Gregg Takayama (Democratic)

Signed by Governor

Summary

Part I: Authorizes DOH to inspect qualifying patient medical records held by the physician, advanced practice registered nurse, or hospice provider who issued a written certification for the qualifying patient. Amends and adds definitions for purposes of the medical use of cannabis law. Clarifies the conditions of use for the medical use of cannabis. For purposes of issuing written certifications, authorizes the establishment of a provider-patient relationship via telehealth and limits the maximum amount of fees that can be assessed by providers. Authorizes the sale of hemp products and accessories for the medical use of cannabis at retail dispensing locations, except in waiting rooms. Clarifies transportation requirements for certain inter-dispensary sales of cannabis and manufactured cannabis products. Part II: Establishes criminal penalties for the unlicensed operation of a medical cannabis dispensary. Part III: Authorizes expenditures from the Medical Cannabis Registry and Regulation Special Fund to fund programs for the mitigation and abatement of nuisances related to illegal cannabis and hemp products and medical cannabis dispensaries and appropriates funds from the Special Fund to the AG's Drug Nuisance Abatement Unit for these purposes, including establishing positions. Part IV: Beginning 1/1/2028, prohibits the cultivation of cannabis without a cannabis cultivator license issued by DOH. (CD1)

DOHMedical CannabisMedical Cannabis DispensariesPatient RecordsAccessProvider-Patient RelationshipsInter-Dispensary SalesCriminal PenaltiesNuisance Abatement and MitigationMedical Cannabis Registry and Regulation Special FundCannabis Cultivator LicenseAppropriationHLT, CPC, JHA, FIN

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 1 benefits, 0 costs, 3 mixed.

More ways to qualify for medical cannabis

Beginning July 1, 2025, people may qualify for medical cannabis based on a condition that is not a debilitating condition. Their primary treating Hawaii physician or advanced practice registered nurse must provide written approval and find that likely benefits outweigh health risks. People receiving hospice care may also qualify with written approval from a Hawaii-licensed hospice provider. A genuine provider-patient relationship for certification can begin through telehealth, and providers must follow professional care standards.

More products at cannabis dispensaries

Beginning July 1, 2025, medical cannabis dispensaries may sell hemp products and medical-use accessories at retail locations. They may not store, display, or sell those items in waiting rooms. Dispensaries do not have to offer them.

New rules for medical cannabis certifications

Beginning July 1, 2025, certifications last one year. The Department of Health may allow three years when a physician or advanced practice registered nurse says the condition is chronic. A physician or advanced practice registered nurse may charge no more than three times the department’s registration fee, and certifications must originate in Hawaii. Providers must explain risks and benefits and document that patients understand them; minors also need written adult consent, and the adult controls access, dose, and use frequency. Possession cannot exceed an adequate supply, and the department can inspect certifying providers’ records and suspend or revoke their authority for refusal or noncompliant records.

New limits on dispensary transfers

Beginning July 1, 2025, dispensaries may transfer cannabis and manufactured products for medical sales, scientific use, or another state-approved purpose. Transfers must meet packaging, labeling, and testing rules; the seller must send a transport record to the Department of Health before the sale. The default limit is 800 ounces per seller in 30 days, unless the department approves another amount in advance. Products for further manufacturing must go to the purchasing dispensary’s production center.

Sponsors & Cosponsors

Sponsor

  • Gregg Takayama

    Democratic • House

Cosponsors

  • LAMOSAO

    Affiliation unavailable

  • Nicole E. Lowen

    Democratic • House

  • Lisa Marten

    Democratic • House

  • Amy A. Perruso

    Democratic • House

  • Jackson D. Sayama

    Democratic • House

  • Adrian K. Tam

    Democratic • House

  • Chris Todd

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 252 • No: 9

House vote • 4/30/2025

House Floor Vote

Yes: 45 • No: 5

Senate vote • 4/30/2025

Senate Floor Vote

Yes: 23 • No: 1

Senate vote • 4/25/2025

The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....

Yes: 4 • No: 0

House vote • 4/25/2025

The Conference Committee recommends that the measure be Passed, with Amendments....

Yes: 6 • No: 0

Senate vote • 4/8/2025

Senate Floor Vote

Yes: 24 • No: 1

Senate vote • 4/1/2025

The committee(s) on WAM recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 12 • No: 0

Senate vote • 4/1/2025

The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 4 • No: 1

Senate vote • 3/19/2025

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 4 • No: 0

Senate vote • 3/19/2025

The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 3 • No: 1

House vote • 3/4/2025

House Floor Vote

Yes: 49 • No: 0

House vote • 2/27/2025

The committee on JHA recommend that the measure be PASSED, UNAMENDED. The votes ...

Yes: 10 • No: 0

House vote • 2/6/2025

The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The ...

Yes: 10 • No: 0

House vote • 2/3/2025

Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC...

Yes: 49 • No: 0

House vote • 1/29/2025

The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...

Yes: 9 • No: 0

Actions Timeline

  1. Act 241, 06/27/2025 (Gov. Msg. No. 1343).

    6/27/2025Senate
  2. Act 241, on 06/27/2025 (Gov. Msg. No. 1343).

    6/27/2025House
  3. Notice of Intent to veto dated 06/06/2025 (Gov. Msg. No. 1301)

    6/6/2025Senate
  4. Notice of intent to veto (Gov. Msg. No. 1301)

    6/6/2025House
  5. Received notice of passage on Final Reading in House (Hse. Com. No. 821).

    5/2/2025Senate
  6. Received notice of Final Reading (Sen. Com. No. 888).

    5/1/2025House
  7. Transmitted to Governor.

    5/1/2025House
  8. Passed Final Reading, as amended (CD 1). Ayes, 23; Aye(s) with reservations: none. Noes, 1 (Senator(s) Awa). Excused, 1 (Senator(s) McKelvey).

    4/30/2025Senate
  9. Passed Final Reading as amended in CD 1 with none voting aye with reservations; Representative(s) Amato, Belatti, Iwamoto, Perruso, Tam voting no (5) and Representative(s) Cochran excused (1).

    4/30/2025House
  10. Conference committee meeting to reconvene on 04-25-25 5:20 PM; Conference Room 329.

    4/25/2025Senate
  11. The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 4 Aye(s): Senator(s) San Buenaventura, Keohokalole, Moriwaki, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Gabbard.

    4/25/2025Senate
  12. The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 6 Ayes: Representative(s) Takayama, Matayoshi, Tarnas, Keohokapu-Lee Loy, Chun, Alcos; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

    4/25/2025House
  13. Reported from Conference Committee (Conf Com. Rep. No. 255) as amended in (CD 1).

    4/25/2025House
  14. Forty-eight (48) hours notice Wednesday, 04-30-25.

    4/25/2025House
  15. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 255).

    4/25/2025Senate
  16. 48 Hrs. Notice (as amended CD 1) 04-30-25

    4/25/2025Senate
  17. Conference Committee Meeting will reconvene on Friday 04-25-25 3:15PM in conference room 329.

    4/24/2025House
  18. Bill scheduled for Conference Committee Meeting on Thursday, 04-24-25 3:16PM in conference room 329.

    4/23/2025House
  19. Received notice of change in conferees (Hse. Com. No. 756).

    4/21/2025Senate
  20. House Conferees Changed: Representative Matayoshi added as Co-Chair. Representative Chun discharged as Co-Chair; Added as Member.

    4/17/2025House
  21. Senate Conferees Appointed: San Buenaventura Chair; Keohokalole, Gabbard, Moriwaki Co-Chairs; Fevella.

    4/17/2025Senate
  22. Received notice of Senate conferees (Sen. Com. No. 826).

    4/17/2025House
  23. Received notice of appointment of House conferees (Hse. Com. No. 732).

    4/15/2025Senate
  24. Re-referred to HLT, CPC, JHA, FIN, referral sheet 31

    4/14/2025House
  25. House Conferees Appointed: Takayama, Chun, Tarnas, Keohokapu-Lee Loy Co-Chairs; Alcos.

    4/14/2025House

Bill Text

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