Status of Medical Aid in Dying
Medical aid in dying is currently authorized in Hawai‘i. Legislation is advancing to improve the Our Care, Our Choice Act.
The Hawai‘i Our Care, Our Choice Act was signed into law by Governor David Ige on April 5, 2018, and went into effect on January 1, 2019.
On January 20, 2023, three bills were simultaneously submitted for consideration:
In the Senate, SB 442-SD1 would authorize advanced practice registered nurses (APRNs) to prescribe and also authorize psychiatric mental health nurse practitioners , psychiatrists, psychologists and clinical social workers to counsel. After passing the Senate Health Committee, it was heard and passed out of the Senate Consumer Protection Committee on February 22. It was the bill’s last Senate hearing.
In the House, HB 650 HD1 would reduce the waiting period, allow APRNs to counsel and prescribe, and provide an expedited pathway for terminally ill qualified patients who are not expected to survive the mandatory waiting period. This bill has already passed through the House Health Committee and the House Consumer Affairs Committee. It received its final hearing in the House Committee on Judiciary & Hawaiian Affairs on February 24.
In March of 2023, both bills passed their floor votes in the House and Senate respectively. HB 650 passed on a vote of 43-8 and SB 442 passed on a vote of 21-3. Now, each bill will cross chambers.
A hearing has been scheduled for HI HB 650 which improves Hawaii's medical aid in dying law. The hearing in the HHS/CPN committee is scheduled for March 23, 2023 at 10:00 a.m. local time.
Read the full bill summary.
Find more videos from our PSA campaign here.
- Attend an Event in Hawai‘i: Participate in virtual activities related to medical aid in dying and advance care planning.
- Volunteer With Us: Join other passionate and dedicated individuals to work to re-enact legislation that improves care and expands end-of-life choice.
- Follow us on Facebook.
- Sign our petition to show your support for improving the Our Care, Our Choice Act.
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.
Tools and Resources
For Patients Learn about the Our Care, Our Choice Act. You can also access information about the law in five languages.
End-of-Life Planning Use our step-by-step guide to chart your journey or access the California advance directive directly here.
Recursos en Español Recursos en Español.
COVID-19 Toolkit Get answers to your questions about COVID-19 and end of life care.
Resources for Providers Find resources tailored to the needs of healthcare providers.
Dementia Values & Priorities Tool Use our tool to document your preferences to make sure you get the care you want.