Status: Medical only, recreational use decriminalised (new status)

History:

2000 - Medical cannabis legalised (No legal way to obtain cannabis)
2015 - Dispensary system implemented
2017 - Medical cannabis sales start
2020 - Possession of small amounts of cannabis was decriminalised

Policy Framework:

• Patients must be registered to obtain cannabis;
• Patients can only obtain cannabis with a doctor’s recommendation that cannabis will best treat their condition;
• There are 15 qualifying conditions;
• Hawaii has eight medical cannabis dispensaries;
• Patients can possess up to 4oz (113g) of medical cannabis between them and their primary caregiver;
• There are an estimated 26,125 registered medical cannabis patients in Hawaii according to the State of Hawaii, Department of Health;
• Possession of fewer than 3g (0.1oz) of cannabis is decriminalised to a violation (like a speeding ticket) punishable by a fine of $US130;
• Possession of less than 1lb (16oz) is a misdemeanour punishable by up to a year in prison and fines of up to $US2000;
• Possession of more than 1lb is a felony punishable by up to five years in prison and fines of up to $US10,000;
• Sale or delivery of less than 1oz (28g) of cannabis is a misdemeanour punishable by up to a year in prison and fines of up to $US2000;
• Sale or delivery of more than 1oz of cannabis is a felony punishable by up to 20 years in prison and fines of up to $US50,000;
• Cultivation of any amount of cannabis is a felony punishable by up to 20 years in prison and fines of up to $US50,000.
  
  Source: Norml

Outcomes:

• Between 2005 and 2017, cannabis use disorder in people over the age of 12 decreased from 2.0% to 1.4%;
• In 2018, sales of medical marijuana reached $US17.2 million.

Source: https://crime-data-explorer.fr.cloud.gov/explorer/state/hawaii/crime