Hawaii was the first state to pass a medical cannabis law through the legislature rather than the citizen initiative process.
Patient Count
28,889
Hawaii Department of Health, Medical Cannabis Registry Program, 2026
Adult Use Legalization
n/a
The Hawaii Senate has supported adult-use legalization for several years, but the Hawaii House has not. In 2026, SB 3275 proposed incremental reform via "low-dose and low-potency" cannabis.
Governing Agency
Hawaii Department of Health
Office of Medical Cannabis Control and Regulation
Active License Count
37
Simplifya Verified
Annual Sales
$65,731,428
BDSA (last 12 months)
Inventory Tracking System
BioTrack
Implemented
The data in this snapshot is provided in partnership with Simplifya, the industry’s leading compliance software firm, and its Market Guide product. Market Guide provides state-by-state cannabis summaries and focuses on delivering the key data points executives need to make well-informed decisions, as well as the source links analysts need for validation. The content includes policy movement, social equity licensing, banking guidance, and much more. Get a demo today and don’t forget to ask for your NCIA discount!
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