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republic-os/legislation/us/states/hi/2020-regular-session/hb-2043.md
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Fabio a43f31b272 Legislation: batch A — AK AL AR AZ CO CT DE GA HI IA ID 
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 17:26:56 -04:00

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---
type: "Bill"
title: "RELATING TO ADOLESCENT MENTAL HEALTH CARE."
description: "Allows an unlicensed mental health professional, working under the supervision of a licensed mental health professional, to provide mental health treatment or counseling services to minors without parental or legal guardian consent, knowledge, or participation. Requires a mental health professional to ensure that the covered entity has been notified that minor-initiated mental health treatment or counseling services should not be disclosed. Requires a covered entity, upon notification that minor-initiated mental health treatment or counseling services should not be disclosed, to maintain the confidentiality of minor-initiated mental health treatment or counseling services. Takes effect 1/30/2021. (SD2)"
jurisdiction: "us/states/hi"
legislature: "Hawaii Legislature"
session: "2020 Regular Session"
identifier: "HB 2043"
citation: "Hawaii HB 2043 (2020 Regular Session)"
classification: ["bill"]
subjects: ["Minors", "Minor-initiated Mental Health Treatment or Counseling Services", "Confidentiality", "Mental Health Professionals"]
status: "enacted"
primary_sponsors: ["BROWER", "CABANILLA ARAKAWA", "CACHOLA", "CREAGAN", "DECOITE", "GATES", "ICHIYAMA", "LOWEN", "MCKELVEY", "MIZUNO", "NAKAMURA", "OHNO", "PERRUSO", "TOKIOKA", "WILDBERGER"]
version_count: 5
action_count: 37
vote_count: 6
first_action: "2020-01-17"
last_action: "2020-09-15"
source: "openstates"
source_identifier: "ocd-bill/2dd49d7c-c3cb-442f-8cbf-84214521a70e"
source_url: "http://capitol.hawaii.gov/Archives/measure_indiv_Archives8-12.aspx?billtype=HB&billnumber=2043&year=2020"
source_hash: "7c8117093fb5c20cc97c7fb91f08ec6b4e032fd057ac58fcf07bdc9f5a8f0349"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-hi"]
---
# Hawaii HB 2043 (2020 Regular Session) — RELATING TO ADOLESCENT MENTAL HEALTH CARE.
Allows an unlicensed mental health professional, working under the supervision of a licensed mental health professional, to provide mental health treatment or counseling services to minors without parental or legal guardian consent, knowledge, or participation. Requires a mental health professional to ensure that the covered entity has been notified that minor-initiated mental health treatment or counseling services should not be disclosed. Requires a covered entity, upon notification that minor-initiated mental health treatment or counseling services should not be disclosed, to maintain the confidentiality of minor-initiated mental health treatment or counseling services. Takes effect 1/30/2021. (SD2)
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **HB2043** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2020/bills/HB2043_.HTM)
2. **HB2043_HD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2020/bills/HB2043_HD1_.HTM)
3. **HB2043_HD2** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2020/bills/HB2043_HD2_.HTM)
4. **HB2043_SD1** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2020/bills/HB2043_SD1_.HTM)
5. **HB2043_SD2** (committee substitute) — [source](https://www.capitol.hawaii.gov/session2020/bills/HB2043_SD2_.HTM)
## Votes
- The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **3–2** (pass) · upper
- The committees on JUD recommend that the measure be PASSED, WITH AMENDMENTS. — **12–0** (pass) · lower
- The committee(s) on CPH recommend(s) that the measure be PASSED, WITH AMENDMENTS. — **6–0** (pass) · upper
- The committees on CPC recommend that the measure be PASSED, WITH AMENDMENTS. — **10–0** (pass) · lower
- The committees on FIN recommend that the measure be PASSED, UNAMENDED. — **14–1** (pass) · lower
- The committees on HLT recommend that the measure be PASSED, WITH AMENDMENTS. — **8–0** (pass) · lower
## Sponsors
- BROWER — primary (person)
- CABANILLA ARAKAWA — primary (person)
- CACHOLA — primary (person)
- CREAGAN — primary (person)
- DECOITE — primary (person)
- GATES — primary (person)
- ICHIYAMA — primary (person)
- LOWEN — primary (person)
- MCKELVEY — primary (person)
- MIZUNO — primary (person)
- NAKAMURA — primary (person)
- OHNO — primary (person)
- PERRUSO — primary (person)
- TOKIOKA — primary (person)
- WILDBERGER — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2020-01-17** Pending introduction.
- **2020-01-21** Introduced and Pass First Reading. `introduction, reading-1`
- **2020-01-23** Referred to HLT, JUD/CPC, FIN, referral sheet 4 `referral-committee`
- **2020-01-24** Bill scheduled to be heard by HLT on Tuesday, 01-28-20 9:15AM in House conference room 329.
- **2020-01-28** The committees on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Mizuno, B. Kobayashi, Belatti, Nakamura, San Buenaventura, Tokioka, Ward; Ayes with reservations: Representative(s) Say; Noes: none; and Excused: none. `committee-passage-favorable`
- **2020-02-04** Reported from HLT (Stand. Com. Rep. No. 57-20) as amended in HD 1, recommending passage on Second Reading and referral to JUD/CPC.
- **2020-02-04** Passed Second Reading as amended in HD 1 and referred to the committee(s) on JUD/CPC with Representative(s) Matsumoto, Okimoto voting aye with reservations; none voting no (0) and none excused (0). `reading-2, referral-committee`
- **2020-02-10** Bill scheduled to be heard by JUD/CPC on Wednesday, 02-12-20 2:05PM in House conference room 325.
- **2020-02-12** The committees on JUD recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 12 Ayes: Representative(s) C. Lee, San Buenaventura, Brower, Creagan, Lowen, McKelvey, Nakashima, Perruso, Takayama, Yamane, Thielen; Ayes with reservations: Representative(s) Say; Noes: none; and Excused: none. `committee-passage-favorable`
- **2020-02-12** The committees on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Takumi, Ichiyama, Aquino, Belatti, Har, Mizuno, Onishi, Matsumoto; Ayes with reservations: Representative(s) Cachola, Kong; Noes: none; and 1 Excused: Representative(s) Cabanilla Arakawa. `committee-passage-favorable`
- **2020-02-14** Reported from JUD/CPC (Stand. Com. Rep. No. 666-20) as amended in HD 2, recommending referral to FIN.
- **2020-02-14** Report adopted. referred to the committee(s) on FIN as amended in HD 2 with Representative(s) Cachola, DeCoite, Matsumoto, Okimoto, Ward voting aye with reservations; Representative(s) McDermott voting no (1) and Representative(s) Holt, Takayama excused (2).
- **2020-02-27** Bill scheduled to be heard by FIN on Thursday, 02-27-20 2:00PM in House conference room 308.
- **2020-02-27** The committees on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 14 Ayes: Representative(s) Luke, Cullen, Gates, Hashimoto, Holt, Kitagawa, B. Kobayashi, Nakamura, Nishimoto, Todd, Wildberger, Yamashita, McDermott; Ayes with reservations: Representative(s) Matayoshi; 1 Noes: Representative(s) Eli; and Excused: none. `committee-passage-favorable`
- **2020-02-28** Reported from FIN (Stand. Com. Rep. No. 947-20), recommending passage on Third Reading.
- **2020-02-28** Passed Third Reading with Representative(s) Okimoto voting aye with reservations; Representative(s) Eli, Gates, Matsumoto, McDermott voting no (4) and Representative(s) Cabanilla Arakawa, DeCoite, Holt, Thielen excused (4). Transmitted to Senate. `passage`
- **2020-03-03** Received from House (Hse. Com. No. 166). `introduction`
- **2020-03-03** Passed First Reading. `reading-1`
- **2020-03-03** Referred to CPH, JDC/WAM. `referral-committee`
- **2020-03-06** The committee(s) on CPH has scheduled a public hearing on 03-10-20 9:30AM in conference room 229.
- **2020-03-10** The committee(s) on CPH recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPH were as follows: 6 Aye(s): Senator(s) Baker, S. Chang, Nishihara, Ruderman, L. Thielen, Wakai; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. `committee-passage-favorable`
- **2020-03-11** Re-Referred to CPH, JDC.
- **2020-05-12** Reported from CPH (Stand. Com. Rep. No. 3457) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
- **2020-05-12** Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.
- **2020-06-26** The committee(s) on JDC has scheduled a public hearing on 06-30-20 9:46AM in conference room 016.
- **2020-06-30** The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 3 Aye(s): Senator(s) K. Rhoads, J.Keohokalole; Aye(s) with reservations: Senator(s) Kim ; 2 No(es): Senator(s) Gabbard, Fevella; and 0 Excused: none. `committee-passage-favorable`
- **2020-07-02** Reported from JDC (Stand. Com. Rep. No. 3752) with recommendation of passage on Third Reading, as amended (SD 2).
- **2020-07-02** 48 Hrs. Notice 07-06-20.
- **2020-07-06** Report adopted; Passed Third Reading. Ayes, 22; Aye(s) with reservations: Senator(s) Kim, Riviere . Noes, 2 (Senator(s) Fevella, Gabbard). Excused, 0 (none). Transmitted to House. `passage`
- **2020-07-06** Returned from Senate (Sen. Com. No. 586) in amended form (SD 2).
- **2020-07-08** Received notice of House intent to agree to the amendments proposed by the Senate (Hse. Com. No. 421).
- **2020-07-10** House agrees to Senate amendment(s).
- **2020-07-10** Passed Final Reading as amended in SD 2 with Representative(s) Okimoto, Perruso voting aye with reservations; Representative(s) Kong, Matsumoto, McDermott, Ward voting no (4) and Representative(s) Ohno excused (1).
- **2020-07-10** Received notice of House agreement and passage on Final Reading (Hse. Com. No. 425).
- **2020-07-10** Transmitted to Governor.
- **2020-09-15** Act 037, 09/15/2020 (Gov. Msg. No. 1142). `executive-signature`
- **2020-09-15** Act 037, on 09/15/2020 (Gov. Msg. No. 1142). `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2dd49d7c-c3cb-442f-8cbf-84214521a70e`. Confidence: reported (aggregated from official Hawaii legislature records).
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