STATE BILLHI SB 1323ENGROSSED

Relating To Health Care.

Adopts the Uniform Health Care Decisions Act (2023), as modified, to replace existing chapters related to advance health care directives and advance mental health care directives. (CD1)

Status: Engrossed; Passed its first chamber
Status date: Mar 4, 2025; 618 days ago
Current chamber: Senate
Session: 2026 Regular Session

HI SB 1323 · EngrossedMar 4

Follow the legislation that affects what you sell.

Get started free

Free account · 30-second setup · No credit card

Prefer ChatGPT or Claude? Ask Civic IQ about this bill →

What it means for vendors

Civic IQ reads each bill for what it would fund, require or change for the agencies that buy.

What this bill would fund or requireThe spending and mandates in the bill, in plain languageTop matches free Why it matters for what you sellMatched to your products, with how to open the conversationTop matches free 1 signal from this bill in Civic IQSee them free →

Bill details

Last action: Received notice of the discharge of all House Conferees (Hse. Com. No. 457). · Apr 2, 2026

Sponsor

RKRonald KouchiSenator · Democrat · SD-008Primary sponsor

Bill history

Newest first.

Apr 2, 2026Received notice of the discharge of all House Conferees (Hse. Com. No. 457).Senate

Apr 1, 2026House Conferee(s) discharged.House

Mar 20, 2026Received notice of all Senate conferees being discharged (Sen. Com. No. 409).House

Mar 20, 2026Senate Conferee(s) discharged.Senate

Dec 8, 2025Carried over to 2026 Regular Session.

Apr 30, 2025Recommitted to Conference committee as amended in CD 1 with none voting no and Representative(s) Cochran, Hussey excused.House

Apr 30, 2025Recommitted to Conference Committee.Senate

Apr 24, 2025Forty-eight (48) hours notice Wednesday, 04-30-25.House

Show 38 earlier actions

Apr 24, 2025Reported from Conference Committee (Conf Com. Rep. No. 88) as amended in (CD 1).House

Apr 24, 202548 Hrs. Notice (as amended CD 1) 04-30-25.Senate

Apr 24, 2025Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 88).Senate

Apr 24, 2025The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Takayama, Poepoe, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.House

Apr 24, 2025The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 3 Aye(s): Senator(s) San Buenaventura, Rhoads, Hashimoto; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.Senate

Apr 23, 2025Conference committee meeting to reconvene on 04-24-25 3:30PM; Conference Room 329.Senate

Apr 22, 2025Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.Senate

Apr 15, 2025Received notice of Senate conferees (Sen. Com. No. 789).House

Apr 15, 2025Senate Conferees Appointed: San Buenaventura Chair; Rhoads Co-Chair; Hashimoto, Fevella.Senate

Apr 15, 2025Received notice of appointment of House conferees (Hse. Com. No. 731).Senate

Apr 14, 2025House Conferees Appointed: Takayama, Poepoe Co-Chairs; Garcia.House

Apr 8, 2025Received notice of disagreement (Sen. Com. No. 774).House

Apr 8, 2025Senate disagrees with House amendments.Senate

Apr 8, 2025Received from House (Hse. Com. No. 605).Senate

Apr 4, 2025Passed Third Reading as amended in HD 2 with Representative(s) Iwamoto voting aye with reservations; none voting no (0) and Representative(s) Cochran excused (1). Transmitted to Senate.House

Apr 2, 2025Forty-eight (48) hours notice Friday, 04-04-25.House

Apr 2, 2025Reported from JHA (Stand. Com. Rep. No. 1780) as amended in HD 2, recommending passage on Third Reading.House

Mar 25, 2025The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Cochran, Hashem, Perruso, Takayama, Todd, Garcia, Shimizu; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Kahaloa.House

Mar 21, 2025Bill scheduled to be heard by JHA on Tuesday, 03-25-25 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.House

Mar 21, 2025Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Garrett, Kapela, Kitagawa, Ward excused (5).House

Mar 21, 2025Reported from HLT (Stand. Com. Rep. No. 1421) as amended in HD 1, recommending passage on Second Reading and referral to JHA.House

Mar 19, 2025The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.House

Mar 14, 2025Bill scheduled to be heard by HLT on Wednesday, 03-19-25 9:05AM in House conference room 329 VIA VIDEOCONFERENCE.House

Mar 6, 2025Referred to HLT, JHA, referral sheet 19House

Mar 6, 2025Pass First ReadingHouse

Mar 4, 2025Received from Senate (Sen. Com. No. 306) in amended form (SD 2).House

Mar 4, 2025Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House.Senate

Feb 28, 202548 Hrs. Notice 03-04-25.Senate

Feb 28, 2025Reported from JDC (Stand. Com. Rep. No. 844) with recommendation of passage on Third Reading, as amended (SD 2).Senate

Feb 20, 2025The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 4 Aye(s): Senator(s) Rhoads, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Gabbard.Senate

Feb 18, 2025The committee(s) on JDC will hold a public decision making on 02-20-25 10:01AM; CR 016 & Videoconference.Senate

Feb 14, 2025Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.Senate

Feb 14, 2025Reported from HHS (Stand. Com. Rep. No. 532) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.Senate

Feb 5, 2025The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.Senate

Jan 31, 2025The committee(s) on HHS has scheduled a public hearing on 02-05-25 1:00PM; Conference Room 225 & Videoconference.Senate

Jan 27, 2025Referred to HHS, JDC.Senate

Jan 23, 2025Introduced and passed First Reading.Senate

Jan 21, 2025Pending Introduction.Senate

Recorded votes

House Conference: Passed, With AmendmentsApr 24, 2025 · House · 3 yea · 0 nayPassed

Senate Conference: Passed, With AmendmentsApr 24, 2025 · Senate · 3 yea · 0 nayPassed

Senate Judiciary: Passed, With AmendmentsFeb 20, 2025 · Senate · 4 yea · 0 nayPassed

Senate Health and Human Services: Passed, With AmendmentsFeb 5, 2025 · Senate · 4 yea · 0 nayPassed

Subjects

Uniform Health Care Decisions Act (Modified)
Advance Health Care Directives
Advance Mental Health Care Directives

Read the bill at the source

This page follows the bill as the legislature records it. For the bill's full text and the official record, use the legislature's own site.

View on the legislature's site View on LegiScan

Bill data from LegiScan, licensed under CC BY 4.0.

Work in government? Get Civic IQ free →

State of Hawaii profile →