republic-os/legislation/us/states/hi/2023-regular-session/hb-650.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	RELATING TO HEALTH.	Authorizes advanced practice registered nurses to practice medical-aid-in-dying. Authorizes licensed advanced practice registered nurses and clinical nurse specialists with psychiatric or mental health training and licensed marriage and family therapists to provide counseling to a qualified patient. Reduces from twenty to five days, the mandatory waiting period between the two oral requests required for a qualified patient to obtain a prescription for medication. Waives the mandatory waiting period for terminally ill qualified patients who are not expected to survive the mandatory waiting period. (SD1)	us/states/hi	Hawaii Legislature	2023 Regular Session	HB 650	Hawaii HB 650 (2023 Regular Session)	bill	Advanced Practice Registered Nurses Clinical Nurse Specialists Kupuna Caucus Mandatory Waiting Period Marriage and Family Therapists Medical-Aid-In-Dying Our Care Our Choice Act Waiver	enacted	AIU AMATO BELATTI COCHRAN GARRETT GATES HASHEM HASHIMOTO HOLT HUSSEY-BURDICK ICHIYAMA KAPELA LAMOSAO LOWEN MATAYOSHI MORIKAWA NISHIMOTO ONISHI PERRUSO POEPOE SAYAMA TAKAYAMA TAKENOUCHI TAM TARNAS TODD	5	44	6	2023-01-20	2023-06-01	openstates	ocd-bill/76c131cc-5da5-42bd-ad53-13ac28c27d98	https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=650&year=2023	fc394c76d7ae597eca38d5199b933a38b2e4c3dca5f8a598f0c7686f5e7687f6	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-hi

Hawaii HB 650 (2023 Regular Session) — RELATING TO HEALTH.

Authorizes advanced practice registered nurses to practice medical-aid-in-dying. Authorizes licensed advanced practice registered nurses and clinical nurse specialists with psychiatric or mental health training and licensed marriage and family therapists to provide counseling to a qualified patient. Reduces from twenty to five days, the mandatory waiting period between the two oral requests required for a qualified patient to obtain a prescription for medication. Waives the mandatory waiting period for terminally ill qualified patients who are not expected to survive the mandatory waiting period. (SD1)

Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. HB650 (committee substitute) — source
2. HB650_HD1 (committee substitute) — source
3. HB650_HD2 (committee substitute) — source
4. HB650_HD2_HFA1 (committee substitute) — source
5. HB650_SD1 (committee substitute) — source

Votes

• The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — 2–1 (pass) · upper
• Reconsider: The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. — 8–1 (pass) · lower
• The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. — 4–1 (pass) · upper
• The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — 6–1 (pass) · lower
• The committee on CPC recommend that the measure be PASSED, UNAMENDED. — 9–1 (pass) · lower
• Reconsider: The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. — 3–2 (pass) · upper

Sponsors

• AIU — primary (person)
• AMATO — primary (person)
• BELATTI — primary (person)
• COCHRAN — primary (person)
• GARRETT — primary (person)
• GATES — primary (person)
• HASHEM — primary (person)
• HASHIMOTO — primary (person)
• HOLT — primary (person)
• HUSSEY-BURDICK — primary (person)
• ICHIYAMA — primary (person)
• KAPELA — primary (person)
• LAMOSAO — primary (person)
• LOWEN — primary (person)
• MATAYOSHI — primary (person)
• MORIKAWA — primary (person)
• NISHIMOTO — primary (person)
• ONISHI — primary (person)
• PERRUSO — primary (person)
• POEPOE — primary (person)
• SAYAMA — primary (person)
• TAKAYAMA — primary (person)
• TAKENOUCHI — primary (person)
• TAM — primary (person)
• TARNAS — primary (person)
• TODD — primary (person)

Timeline

The legislative action history — every referral, reading, and vote.

• 2023-06-01 Act 043, 06/01/2023 (Gov. Msg. No. 1143). became-law
• 2023-06-01 Act 043, on 06/01/2023 (Gov. Msg. No. 1143). became-law
• 2023-04-28 Transmitted to Governor.
• 2023-04-28 Received notice of House agreement and passage on Final Reading (Hse. Com. No. 890). receipt
• 2023-04-27 Passed Final Reading as amended in SD 1 with none voting aye with reservations; Representative(s) Aiu, Alcos, Chun, Garcia, Kila, Kitagawa, Kong, Lamosao, Martinez, Matsumoto, Pierick, Ward voting no (12) and Representative(s) Ganaden excused (1). passage
• 2023-04-27 House agrees to Senate amendment(s).
• 2023-04-27 Received notice of House reconsideration of action in disagreeing to the amendments proposed by the Senate (Hse. Com. No. 874). receipt
• 2023-04-25 Reconsideration of action taken on 04-13-23.
• 2023-04-24 Received notice of Senate conferees (Sen. Com. No. 975). receipt
• 2023-04-24 Senate Conferees Appointed: San Buenaventura Chair; Keohokalole, Rhoads Co-Chairs.
• 2023-04-14 Received notice of disagreement (Hse. Com. No. 800). receipt
• 2023-04-13 House disagrees with Senate amendment (s). amendment-failure
• 2023-04-11 Returned from Senate (Sen. Com. No. 763) in amended form (SD 1).
• 2023-04-11 Report Adopted; Passed Third Reading. Ayes, 21; Aye(s) with reservations: Senator(s) Fevella. Noes, 3 (Senator(s) Awa, Gabbard, Kim). Excused, 1 (Senator(s) Keohokalole). Transmitted to House. passage
• 2023-04-06 One Day Notice 04-11-23.
• 2023-04-06 Reported from JDC (Stand. Com. Rep. No. 1805) with recommendation of passage on Third Reading.
• 2023-03-30 The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. The votes in JDC were as follows: 3 Aye(s): Senator(s) Rhoads, Elefante, San Buenaventura; Aye(s) with reservations: none ; 2 No(es): Senator(s) Gabbard, Awa; and 0 Excused: none. committee-passage-favorable
• 2023-03-24 The committee(s) on JDC will hold a public decision making on 03-30-23 9:35AM; Conference Room 016 & Videoconference.
• 2023-03-24 Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. reading-2, referral-committee
• 2023-03-24 Reported from HHS/CPN (Stand. Com. Rep. No. 1414) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
• 2023-03-23 The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 4 Aye(s): Senator(s) Keohokalole, Fukunaga, McKelvey, Richards; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 0 Excused: none. committee-passage-favorable
• 2023-03-23 The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 2 Aye(s): Senator(s) San Buenaventura, Shimabukuro; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 2 Excused: Senator(s) Aquino, Moriwaki. committee-passage-favorable
• 2023-03-17 The committee(s) on HHS/CPN has scheduled a public hearing on 03-23-23 10:00AM; Conference Room 229 & Videoconference.
• 2023-03-10 Referred to HHS/CPN, JDC. referral-committee
• 2023-03-09 Passed First Reading. reading-1
• 2023-03-09 Received from House (Hse. Com. No. 324). introduction, receipt
• 2023-03-07 Passed Third Reading as amended in HD 2 with Representative(s) Aiu, Chun, Lamosao, Martinez voting aye with reservations; Representative(s) Alcos, Garcia, Kila, Kitagawa, Kong, Matsumoto, Pierick, Ward voting no (8) and none excused (0). Transmitted to Senate. passage
• 2023-03-07 Floor amendment failed with Noes, 1 (Representative(s) Belatti). Excused, 0 (none). amendment-failure
• 2023-03-07 Floor Amendment No. 1 offered by Rep. Pierick.
• 2023-03-03 Forty-eight (48) hours notice Tuesday, 03-07-23.
• 2023-03-03 Reported from JHA (Stand. Com. Rep. No. 1083) as amended in HD 2, recommending passage on Third Reading.
• 2023-02-24 The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Tarnas, Takayama, Ganaden, Hashimoto, Ichiyama, Ilagan, Mizuno, Souza; Ayes with reservations: none; 1 Noes: Representative(s) Kong; and 1 Excused: Representative(s) Holt. committee-passage-favorable
• 2023-02-22 Bill scheduled to be heard by JHA on Friday, 02-24-23 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.
• 2023-02-17 Report adopted; referred to the committee(s) on JHA with Representative(s) Alcos, Lamosao voting aye with reservations; Representative(s) Garcia, Kila, Kong, Matsumoto, Pierick, Ward voting no (6) and Representative(s) Marten excused (1).
• 2023-02-17 Reported from CPC (Stand. Com. Rep. No. 738), recommending referral to JHA.
• 2023-02-15 The committee on CPC recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 9 Ayes: Representative(s) Nakashima, Sayama, Amato, Belatti, Hashem, Hussey-Burdick, Lowen, Onishi, Tam; Ayes with reservations: none; 1 Noes: Representative(s) Pierick; and 1 Excused: Representative(s) Gates. committee-passage-favorable
• 2023-02-13 Bill scheduled to be heard by CPC on Wednesday, 02-15-23 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
• 2023-02-07 Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; Representative(s) Alcos, Garcia, Kong, Matsumoto, Pierick, Ward voting no (6) and none excused (0). reading-2, referral-committee
• 2023-02-07 Reported from HLT (Stand. Com. Rep. No. 100) as amended in HD 1, recommending passage on Second Reading and referral to CPC.
• 2023-02-01 The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 6 Ayes: Representative(s) Belatti, Takenouchi, Ilagan, Kobayashi, Mizuno, Nishimoto; Ayes with reservations: none; 1 Noes: Representative(s) Garcia; and 1 Excused: Representative(s) Amato. committee-passage-favorable
• 2023-01-30 Bill scheduled to be heard by HLT on Wednesday, 02-01-23 10:00AM in House conference room 329 VIA VIDEOCONFERENCE.
• 2023-01-27 Referred to HLT, CPC, JHA, referral sheet 2 referral-committee
• 2023-01-23 Introduced and Pass First Reading. introduction, reading-1
• 2023-01-20 Pending introduction.

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/76c131cc-5da5-42bd-ad53-13ac28c27d98. Confidence: reported (aggregated from official Hawaii legislature records).