Hawaii’s Our Care, Our Choice Act (OCOCA) went into effect on January 1, 2019. The Act authorizes medical aid in dying in the state, after nearly 20 years of on-the-ground organizing by supporters and Compassion & Choices. Governor David Ige signed the law on April 5, 2018.

OCOCA empowers terminally ill, mentally capable Hawai’i residents with six months or less to live to choose to take a prescription in their final days that will end unbearable suffering and allow them to die peacefully.

But due to Hawai’i’s severe doctor shortage, too many terminally ill patients are still unable to access medical aid in dying.

Qualified Advanced Practice Registered Nurses (APRNs) stand ready to serve, but as the law is written, they are currently prohibited from helping in this most crucial area.

Sign our petition to include APRNs as medical aid-in-dying prescribers: https://www.thepetitionsite.com/takeaction/124/288/763/

Find more videos from our PSA campaign here.

Take Action

Education & Outreach

In January 2020 alone, Compassion & Choices participated in multiple events with volunteers and supporters, including a successful panel discussion on the one year anniversary of the Our Care, Our Choice Act’s implementation. Learn more about the Hawai‘i Our care, Our Choice Act. 

Access our Translated Resources in Six Languages

Tools and Resources

simple blue medical cross graphic.

For Patients
Learn whether you are eligible for the Hawai‘i Our Care, Our Choice Act.


tools for end of life planning and decision making.

End-of-Life Planning
Use our step-by-step guide to chart your journey.


advance care planning and resources in Spanish, espanol.

Recursos en Español
Recursos en Español.


answers to questions about COVID-19, including treatment and end of life.

COVID-19 Toolkit
Get answers to your questions about COVID-19 and end of life care.


tools for end of life planning and decision making.

Resources for Providers
Find resources tailored to the needs of healthcare providers.


tools for documenting end-of-life for dementia.

Dementia Values & Priorities Tool
Use our tool to document your preferences to make sure you get the care you want.