HawaiiSB 14292025–2026 Regular Session (Year 1)SenateWALLET

RELATING TO MEDICAL CANNABIS.

Sponsored By: Ronald D. Kouchi (Democratic)

Signed by Governor

Summary

Authorizes the Department of Health to impose penalties and take enforcement actions for violations of the medical cannabis laws. Increases the maximum number of qualifying patients a primary caregiver is authorized to care for from one to five patients. Retroactive to 1/1/2025, repeals the prohibition against primary caregivers cultivating medical cannabis for their qualifying patients, and authorizes primary caregivers to cultivate cannabis in an amount not to exceed an adequate supply for the qualifying patient; provided that each location used to cultivate cannabis shall be used to cultivate cannabis for not more than five qualifying patients. Extends for two years the sunset date for the interim rules adopted by the Department of Health and extends for four years the sunset date for the exemption from civil service of personnel hired by, or contracts entered into by, the Department of Health related to the medical cannabis dispensary system. (CD1)

DOHOffice of Medical Cannabis Control and RegulationMedical CannabisCaregiversPenaltiesCultivationRulesCivil Service ExemptionsHLT, CPC, JHA

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Bill Overview

Analyzed Economic Effects

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

Medical cannabis rules stay in place

Hawaii’s interim rules for medical cannabis dispensaries stay in place until July 1, 2027. They end sooner if the state adopts replacement rules.

Fines for medical cannabis violations

The Hawaii Department of Health can issue fines of up to $5,000 for each medical cannabis law or rule violation. Each day a violation occurs or continues counts separately. The department can also order someone to stop a violation or take corrective action. A person has 20 calendar days after written notice to request a hearing before the penalty or order becomes final, and can appeal a final department order to circuit court.

More caregiver access, with patient caps

A registered primary caregiver can serve up to five qualifying patients at a time, up from one. A caregiver can grow an adequate supply for a patient, and each growing location can serve no more than five patients. This caregiver-growing option no longer ends after December 31, 2024.

Sponsors & Cosponsors

Sponsor

  • Ronald D. Kouchi

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 232 • No: 11

Senate vote • 4/30/2025

Senate Floor Vote

Yes: 24 • No: 1

House vote • 4/30/2025

House Floor Vote

Yes: 49 • No: 1

Senate vote • 4/24/2025

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

Yes: 3 • No: 0

House vote • 4/24/2025

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

Yes: 4 • No: 0

House vote • 4/8/2025

House Floor Vote

Yes: 48 • No: 2

House vote • 3/25/2025

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

Yes: 9 • No: 1

House vote • 3/19/2025

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

Yes: 6 • No: 2

House vote • 3/14/2025

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

Yes: 46 • No: 1

House vote • 3/12/2025

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

Yes: 7 • No: 1

Senate vote • 3/4/2025

Senate Floor Vote

Yes: 24 • No: 1

Senate vote • 2/21/2025

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

Yes: 4 • No: 0

Senate vote • 2/12/2025

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

Yes: 3 • No: 1

Senate vote • 2/12/2025

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

Yes: 5 • No: 0

Actions Timeline

  1. Act 046, 05/14/2025 (Gov. Msg. No. 1146).

    5/14/2025Senate
  2. Act 046, on 05/14/2025 (Gov. Msg. No. 1146).

    5/14/2025House
  3. Received notice of passage on Final Reading in House (Hse. Com. No. 821).

    5/2/2025Senate
  4. Enrolled to Governor.

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

    5/1/2025House
  6. Passed Final Reading, as amended (CD 1). Ayes, 24; Aye(s) with reservations: none. Noes, 1 (Senator(s) Awa). Excused, 0 (none).

    4/30/2025Senate
  7. Passed Final Reading as amended in CD 1 with Representative(s) Iwamoto, Reyes Oda voting aye with reservations; Representative(s) Garcia voting no (1) and Representative(s) Cochran excused (1).

    4/30/2025House
  8. The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Keohokalole, Gabbard; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

    4/24/2025Senate
  9. The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Tarnas, Matsumoto; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

    4/24/2025House
  10. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 89).

    4/24/2025Senate
  11. 48 Hrs. Notice (as amended CD 1) 04-30-25.

    4/24/2025Senate
  12. Reported from Conference Committee (Conf Com. Rep. No. 89) as amended in (CD 1).

    4/24/2025House
  13. Forty-eight (48) hours notice Wednesday, 04-30-25.

    4/24/2025House
  14. Received notice of appointment of House conferees (Hse. Com. No. 799).

    4/23/2025Senate
  15. Conference committee meeting scheduled for 04-24-25 1:30PM; Conference Room 329.

    4/23/2025Senate
  16. House Conferees Appointed: Takayama, Matayoshi, Tarnas Co-Chairs; Matsumoto.

    4/22/2025House
  17. Senate Conferees Appointed: San Buenaventura Chair; Keohokalole, Gabbard Co-Chairs; Fevella.

    4/17/2025Senate
  18. Received notice of Senate conferees (Sen. Com. No. 825).

    4/17/2025House
  19. Received from House (Hse. Com. No. 688).

    4/10/2025Senate
  20. Senate disagrees with House amendments.

    4/10/2025Senate
  21. Received notice of disagreement (Sen. Com. No. 779).

    4/10/2025House
  22. Passed Third Reading as amended in HD 3 with Representative(s) Amato, Iwamoto voting aye with reservations; Representative(s) Alcos, Garcia voting no (2) and Representative(s) Cochran excused (1). Transmitted to Senate.

    4/8/2025House
  23. Reported from JHA (Stand. Com. Rep. No. 2033) as amended in HD 3, recommending passage on Third Reading.

    4/4/2025House
  24. Forty-eight (48) hours notice Tuesday, 04-08-25.

    4/4/2025House
  25. The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Cochran, Hashem, Perruso, Takayama, Todd, Shimizu; Ayes with reservations: none; 1 Noes: Representative(s) Garcia; and 1 Excused: Representative(s) Kahaloa.

    3/25/2025House

Bill Text

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