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The DOH Act 169 Dual Use of Cannabis Task Force was established to develop recommendations for Hawaii's approach to adult-use (recreational) cannabis regulation, building on the state's existing medical cannabis program. It examined licensing frameworks, regulatory structures, public health safeguards, and the social equity dimensions of cannabis legalization, including how communities most harmed by cannabis prohibition could benefit from a regulated market. Its findings informed legislative action on adult-use cannabis in Hawaii.

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The task force's recommendations directly shaped the legislative framework for adult-use cannabis in Hawaii, affecting how and where cannabis can be legally purchased, what the tax structure looks like, and what equity provisions are included. Residents who use cannabis medically or are interested in the public health and equity dimensions of legalization can follow resulting legislation.

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