Keauhou Cannabis Guide: Kailua (Kona), Hawaii

Kailua-Kona anchors the leeward side of Hawaii Island, where the weather stays dry, the coffee belt climbs the slopes of Hualalai, and the Ironman World Championship has finished on Alii Drive since the late 1970s. Roughly a quarter of the island population lives on this coast, and the visitor economy layered on top makes Kona feel busier than its residential numbers suggest. Both island licensees run a store here, which puts West Hawaii on equal footing with Hilo.

Neither store sits on the waterfront. Alii Drive is hotels, restaurants and shave ice, and cannabis retail landed instead in the working blocks above and north of it, where rents are lower and parking exists. That is also where the visiting patient traffic goes, because Kona International Airport at Keahole is only about fifteen minutes north and the resort corridor stretches from Keauhou to the Kohala Coast.

The retail geography is compact. Big Island Grown occupies Pawai Place in the Brewers Block beside Kona Brewing Company, just mauka of Kuakini Highway. Hawaiian Ethos sits nearby on Olowalu Street in the old industrial area off Kaiwi Street, the same grid of warehouses, dive shops and light manufacturing that serves the whole coast. Businesses along Kaiwi, Pawai and the Palani Road approach are on the streets every Kona patient already knows how to find.

Hawaii passed the first state medical cannabis law written by a legislature rather than a ballot measure in 2000, then waited seventeen years for a store to open. Act 241 built the dispensary system in 2015, and the first legal sale happened on Maui in August 2017. Everything you can buy today flows through that system: eight licensed companies, each growing and manufacturing on the island where it sells, with the Department of Health Office of Medical Cannabis Control and Regulation running licensing, testing oversight and inspections.

Access starts with a 329 card. A physician or advanced practice registered nurse certifies a qualifying condition, you apply through the state portal, and registration costs $38.50 for one year or $77.00 for two. Act 241 of 2025 capped what a certifying provider may charge at $105 for a one-year certification and $210 for a two-year one, and it let providers establish the patient relationship over telehealth. Roughly 29,200 in-state patients held valid cards as of July 2026.

Cardholders may possess four ounces of usable cannabis and grow up to ten tagged plants at one registered site. Dispensaries cannot sell more than four ounces to any patient in fifteen consecutive days or eight ounces in thirty. There is no separate cannabis excise tax, so your receipt reflects the general excise tax, passed on at up to 4.712 percent in every county.

Two things trip people up. Cannabis cannot be carried between islands, not even by a patient with a valid card, because federal airspace and waters sit in between. And hemp is regulated hard: interim rules effective January 28, 2026 cap gummies at one milligram of THC per piece, ban hemp flower and hemp vapes outright, and require every retailer selling hemp products to register with the state.

Only eight companies hold Hawaii dispensary licenses, and each sells its own cultivation under its own name. On Oahu you have Aloha Green Apothecary, Cure Oahu and Noa Botanicals. Maui County has Maui Grown Therapies and Pono Life Maui. Hawaii Island has Big Island Grown and Hawaiian Ethos. Kauai has Green Aloha. There are no third-party brands imported from the mainland, because nothing may cross state or county lines; what you see on a shelf was grown and packaged by that licensee or bought from another Hawaii licensee through an approved dispensary-to-dispensary transfer.

The 2026 legislative session ended the way the previous several did: the Senate moved a narrow low-dose adult-use measure, SB 3275, and it died at the March 12 crossover deadline after House leadership said the votes were not there. Regulators, meanwhile, were busy. The November 2025 dispensary rules loosened what stores may sell and let a caregiver sit in the waiting room, while Act 269 of 2025 forced every hemp retailer in the state to register, with enforcement starting July 1, 2026. Patient counts are drifting up slowly, not spiking.