Act 46 (2025): What Changed for Hawaiʻi Caregivers
In 2025 Hawaiʻi reopened home cultivation for registered primary caregivers. If you care for a 329 patient — or you’re a patient with a caregiver — here’s what the law now says.
Updated October 26, 2026
Caregivers can cultivate for their patients
Act 46 (SB 1429), signed May 14, 2025, lets a registered primary caregiver cultivate for their qualifying patients, within each patient’s adequate supply. The change applies retroactively to January 1, 2025.
Up to five patients
- One primary caregiver may care for up to five qualifying patients at a time.
- One cultivation location may serve up to five qualifying patients.
- Each patient has one registered primary caregiver, listed on their 329 card along with the grow site.
Department of Health enforcement
Act 46 also gave DOH direct enforcement authority, including fines of up to $5,000 per violation, with each day of a continuing violation counted separately. Keeping registrations, grow sites, and plant tags in order matters.
Designing for more than one patient. A caregiver cultivating for several patients is planning a larger, more organized space. That’s exactly the kind of property planning Aloha Cultivation does.
Stay current
Confirm how these rules apply to your situation with DOH’s Office of Medical Cannabis Control & Regulation.
Sources: Act 46, SLH 2025 · DOH — Growing Cannabis