Bill Text: HI HB302 | 2025 | Regular Session | Amended
Bill Title: Relating To Cannabis.
Spectrum: Partisan Bill (Democrat 8-0)
Status: (Introduced) 2025-02-21 - Bill scheduled to be heard by JHA on Tuesday, 02-25-25 2:00PM in House conference room 325 VIA VIDEOCONFERENCE. [HB302 Detail]
Download: Hawaii-2025-HB302-Amended.html
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
302 |
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THIRTY-THIRD LEGISLATURE, 2025 |
H.D. 2 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO CANNABIS.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that access for qualifying patients and primary caregivers to medical cannabis and particularly licensed medical cannabis dispensaries remains challenging due to limited access to medical providers, delays in obtaining allowed access to enter and purchase medical cannabis, and the availability of cannabis through a thriving illicit market.
The legislature further finds that registration for the medical cannabis program has decreased in the last few years. While the number of registered medical cannabis patients reached its peak in August 2021, with 35,444 card-holding patients, since then, the number of patients has decreased over fifteen per cent to 30,035 by November 2024. This appears to indicate that residents are shifting away from licensed medical cannabis dispensaries, and instead are obtaining their medical cannabis from elsewhere due to administrative barriers, delays in registering, and the ease and lower costs in obtaining cannabis elsewhere.
The legislature also finds that this apparent shift away from licensed medical cannabis dispensaries toward the illicit market undermines the purposes of the medical cannabis program in ensuring patient safety, product safety, and public safety.
The legislature additionally finds that in Act 34, Session Laws of Hawaii 2021, eliminated the requirement for a physician-patient relationship to be established by an initial in-person consultation, and authorized the relationship to be established via telehealth.
Accordingly, the purpose of this Act is to expand access to care by easing some of the burdens upon qualifying patients and primary caregivers. Specifically, this Act repeals the requirement that a provider-patient relationship be established in person.
SECTION 2. Section 329-123, Hawaii Revised Statutes, is amended by amending subsection (a) to read as follows:
"(a) Physicians or advanced practice registered
nurses who issue written certifications shall provide, in each written
certification, the name, address, patient identification number, and other
identifying information of the qualifying patient. The department of health shall require, in
rules adopted pursuant to chapter 91, that all written certifications comply
with a designated form completed by or on behalf of a qualifying patient. The form shall require information from the
applicant, primary caregiver, and physician or advanced practice registered
nurse as specifically required or permitted by this chapter. The form shall require the address of the
location where the cannabis is grown and shall appear on the registry card
issued by the department of health. The
certifying physician or advanced practice registered nurse shall be required to
have a bona fide physician-patient relationship or bona fide advanced practice
registered nurse-patient relationship, as applicable, with the qualifying
patient[.]; provided that nothing under this part shall require that
the bona fide physician-patient relationship or bona fide advanced practice
registered nurse-patient relationship be established by conducting an initial
in-person consultation; provided further that the written certification under
this subsection shall originate from within the State. All current active medical cannabis permits
shall be honored through their expiration date."
SECTION 3. Section 329-126, Hawaii Revised Statutes, is amended by amending subsection (b) to read as follows:
"(b)
For purposes of this section, a bona fide physician-patient relationship
may be established via telehealth, as defined in section 453-1.3(j), and a bona
fide advanced practice registered nurse-patient relationship may be established
via telehealth, as defined in section 457-2; provided that nothing under
this part shall require that treatment recommendations that include
certifying a patient for the medical use of cannabis via telehealth [shall]
be allowed only after an initial in-person consultation between the certifying
physician or advanced practice registered nurse and the patient."
SECTION 4. Section 453-1.3, Hawaii Revised Statutes, is amended by amending subsection (c) to read as follows:
"(c)
Treatment recommendations made via telehealth, including issuing a
prescription via electronic means, shall be held to the same standards of
appropriate practice as those in traditional physician-patient settings that do
not include [[]an[]] in-person visit but in which prescribing is
appropriate, including on-call telephone encounters and encounters for which a
follow-up visit is arranged. Issuing a
prescription based solely on an online questionnaire is not treatment for the
purposes of this section and does not constitute an acceptable standard of
care. For the purposes of prescribing
opiates [or certifying a patient for the medical use of cannabis], a
physician-patient relationship shall only be established after an in-person
consultation between the prescribing physician and the patient."
SECTION 5. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 6. This Act shall take effect on July 1, 3000; provided that the amendments made to section 453-1.3(c), Hawaii Revised Statutes, by section 4 of this Act shall not be repealed when that section is reenacted on December 31, 2025, pursuant to section 8 of Act 107, Session Laws of Hawaii 2023.
Report Title:
Medical Cannabis; Access; Provider-Patient Relationships; Certification
Description:
Repeals
the requirement that a provider-patient relationship be established in person. Effective 7/1/3000. (HD2)
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
