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    Legal Status

    Hawaii

    Mixed

    Last updated October 1, 2025

    This is informational only and does not constitute legal advice. Laws change frequently. Consult qualified legal counsel in Hawaii for specific guidance.

    Substance-by-Substance Status

    KetamineLegal
    PsilocybinTrials Only
    MDMATrials Only
    AyahuascaIllegal
    IbogaineIllegal

    Policies & Regulations

    Medical Program

    Proposed

    Hawaii has been actively exploring psychedelic therapy legislation. In 2023, the state established a therapeutic psilocybin working group. Bills for regulated access have been introduced in multiple sessions. The state has funded psilocybin research through the University of Hawaii. Ketamine therapy is available through licensed providers.

    What's Allowed

    • •Ketamine therapy through licensed providers
    • •State-funded psilocybin research

    Not Allowed

    • •Psilocybin possession or therapy (pending legislation)
    • •Commercial psychedelic services

    How to Access

    1. 1.Seek ketamine therapy through licensed providers
    2. 2.Contact University of Hawaii for research participation
    3. 3.Monitor state legislation for upcoming changes

    Official Resources

    Hawaii Therapeutic Psilocybin Working Group

    Last updated: October 1, 2025

    Recent Changes

    October 1, 2025

    Hawaii psilocybin working group published final report recommending a regulated therapeutic access model.

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