a43f31b272
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
135 lines
11 KiB
Markdown
135 lines
11 KiB
Markdown
---
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type: "Bill"
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title: "RELATING TO HEALTH."
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description: "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)"
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jurisdiction: "us/states/hi"
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legislature: "Hawaii Legislature"
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session: "2023 Regular Session"
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identifier: "HB 650"
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citation: "Hawaii HB 650 (2023 Regular Session)"
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classification: ["bill"]
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subjects: ["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"]
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status: "enacted"
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primary_sponsors: ["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"]
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version_count: 5
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action_count: 44
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vote_count: 6
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first_action: "2023-01-20"
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last_action: "2023-06-01"
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source: "openstates"
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source_identifier: "ocd-bill/76c131cc-5da5-42bd-ad53-13ac28c27d98"
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source_url: "https://capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=650&year=2023"
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source_hash: "fc394c76d7ae597eca38d5199b933a38b2e4c3dca5f8a598f0c7686f5e7687f6"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-hi"]
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---
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# Hawaii HB 650 (2023 Regular Session) — RELATING TO HEALTH.
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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)
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **HB650** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/HB650_.HTM)
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2. **HB650_HD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/HB650_HD1_.HTM)
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3. **HB650_HD2** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/HB650_HD2_.HTM)
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4. **HB650_HD2_HFA1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/HB650_HD2_HFA1_.HTM)
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5. **HB650_SD1** (committee substitute) — [source](https://capitol.hawaii.gov/sessions/session2023/bills/HB650_SD1_.HTM)
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## Votes
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- The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **2–1** (pass) · upper
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- Reconsider: The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. — **8–1** (pass) · lower
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- The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **4–1** (pass) · upper
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- The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **6–1** (pass) · lower
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- The committee on CPC recommend that the measure be PASSED, UNAMENDED. — **9–1** (pass) · lower
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- Reconsider: The committee(s) on JDC recommend(s) that the measure be PASSED, UNAMENDED. — **3–2** (pass) · upper
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## Sponsors
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- AIU — primary (person)
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- AMATO — primary (person)
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- BELATTI — primary (person)
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- COCHRAN — primary (person)
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- GARRETT — primary (person)
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- GATES — primary (person)
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- HASHEM — primary (person)
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- HASHIMOTO — primary (person)
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- HOLT — primary (person)
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- HUSSEY-BURDICK — primary (person)
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- ICHIYAMA — primary (person)
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- KAPELA — primary (person)
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- LAMOSAO — primary (person)
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- LOWEN — primary (person)
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- MATAYOSHI — primary (person)
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- MORIKAWA — primary (person)
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- NISHIMOTO — primary (person)
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- ONISHI — primary (person)
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- PERRUSO — primary (person)
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- POEPOE — primary (person)
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- SAYAMA — primary (person)
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- TAKAYAMA — primary (person)
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- TAKENOUCHI — primary (person)
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- TAM — primary (person)
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- TARNAS — primary (person)
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- TODD — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2023-06-01** Act 043, 06/01/2023 (Gov. Msg. No. 1143). `became-law`
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- **2023-06-01** Act 043, on 06/01/2023 (Gov. Msg. No. 1143). `became-law`
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- **2023-04-28** Transmitted to Governor.
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- **2023-04-28** Received notice of House agreement and passage on Final Reading (Hse. Com. No. 890). `receipt`
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- **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`
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- **2023-04-27** House agrees to Senate amendment(s).
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- **2023-04-27** Received notice of House reconsideration of action in disagreeing to the amendments proposed by the Senate (Hse. Com. No. 874). `receipt`
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- **2023-04-25** Reconsideration of action taken on 04-13-23.
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- **2023-04-24** Received notice of Senate conferees (Sen. Com. No. 975). `receipt`
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- **2023-04-24** Senate Conferees Appointed: San Buenaventura Chair; Keohokalole, Rhoads Co-Chairs.
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- **2023-04-14** Received notice of disagreement (Hse. Com. No. 800). `receipt`
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- **2023-04-13** House disagrees with Senate amendment (s). `amendment-failure`
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- **2023-04-11** Returned from Senate (Sen. Com. No. 763) in amended form (SD 1).
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- **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`
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- **2023-04-06** One Day Notice 04-11-23.
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- **2023-04-06** Reported from JDC (Stand. Com. Rep. No. 1805) with recommendation of passage on Third Reading.
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- **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`
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- **2023-03-24** The committee(s) on JDC will hold a public decision making on 03-30-23 9:35AM; Conference Room 016 & Videoconference.
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- **2023-03-24** Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. `reading-2, referral-committee`
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- **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.
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- **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`
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- **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`
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- **2023-03-17** The committee(s) on HHS/CPN has scheduled a public hearing on 03-23-23 10:00AM; Conference Room 229 & Videoconference.
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- **2023-03-10** Referred to HHS/CPN, JDC. `referral-committee`
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- **2023-03-09** Passed First Reading. `reading-1`
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- **2023-03-09** Received from House (Hse. Com. No. 324). `introduction, receipt`
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- **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`
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- **2023-03-07** Floor amendment failed with Noes, 1 (Representative(s) Belatti). Excused, 0 (none). `amendment-failure`
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- **2023-03-07** Floor Amendment No. 1 offered by Rep. Pierick.
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- **2023-03-03** Forty-eight (48) hours notice Tuesday, 03-07-23.
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- **2023-03-03** Reported from JHA (Stand. Com. Rep. No. 1083) as amended in HD 2, recommending passage on Third Reading.
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- **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`
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- **2023-02-22** Bill scheduled to be heard by JHA on Friday, 02-24-23 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.
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- **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).
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- **2023-02-17** Reported from CPC (Stand. Com. Rep. No. 738), recommending referral to JHA.
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- **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`
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- **2023-02-13** Bill scheduled to be heard by CPC on Wednesday, 02-15-23 2:00PM in House conference room 329 VIA VIDEOCONFERENCE.
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- **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`
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- **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.
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- **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`
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- **2023-01-30** Bill scheduled to be heard by HLT on Wednesday, 02-01-23 10:00AM in House conference room 329 VIA VIDEOCONFERENCE.
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- **2023-01-27** Referred to HLT, CPC, JHA, referral sheet 2 `referral-committee`
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- **2023-01-23** Introduced and Pass First Reading. `introduction, reading-1`
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- **2023-01-20** Pending introduction.
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/76c131cc-5da5-42bd-ad53-13ac28c27d98`. Confidence: reported (aggregated from official Hawaii legislature records).
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