# Hawaii HB 1003: RELATING TO MENTAL HEALTH.

Hawaii HB 1003, RELATING TO MENTAL HEALTH., is a 2025–2026 Regular Session (Year 1) House bill sponsored by Nadine K. Nakamura (Democratic); status first reading, last action 2025-01-23 (Introduced and Pass First Reading.) (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/HI-HB1003-2025
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii HB 1003
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO MENTAL HEALTH.
- Status: first reading
- Chamber: House
- Introduced: 2025-01-21
- Last action: 2025-01-23, Introduced and Pass First Reading.
- Sponsor: Nadine K. Nakamura (Democratic)
- Cosponsors: 0
- Subjects: Mental Health, Admission to Psychiatric Facility, Emergency Transportation, Emergency Examination, Emergency Hospitalization, Involuntary Hospitalization, Assisted Community Treatment, Administration of Treatment Over the Patient's Objection, Limited Liability, Confidentiality, HLT, JHA
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Clarifies and expands the circumstances and procedures available for emergency transportation, examination, and hospitalization under chapter 334. Provides limits on liability for state and local governments and professionals during mental health emergency procedures while performing their duties in the course of employment. Expands the notice requirements for an emergency hospitalization to include an individual's health-care surrogate and clarifies when notice to family members can be waived. Removes the authority of the family court to appoint a legal guardian in a proceeding for involuntary hospitalization. Removes the requirement that psychiatric facilities wait for a response on a notice of intent to discharge an involuntary hospitalization patient prior to discharge. Clarifies the circumstances under which a subject of an order for assisted community treatment can be administered medication over the subject's objection. Provides limits on liability for an assisted community treatment provider. Modifies the administrative authorization of medical treatment over the patient's objection to be reviewed by a single decision-maker who is a psychiatrist.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Nadine K. Nakamura (Democratic), House

## Actions (3)

- 2025-01-23: Introduced and Pass First Reading. (House)
- 2025-01-23: Referred to HLT, JHA, referral sheet 3 (House)
- 2025-01-21: Pending introduction. (House)

## Bill text

- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1003_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1003_.pdf)

## Related bills

- SB 572: RELATING TO HOUSING. (signed)
- HB 431: RELATING TO HOUSING. (signed)
- HB 420: RELATING TO REMEDIES. (signed)
- SB 1296: RELATING TO DISASTER RECOVERY. (signed)
- HB 830: RELATING TO HISTORIC PRESERVATION REVIEWS. (signed)
- HB 1064: RELATING TO FIRE PROTECTION. (signed)

## Sources
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1003_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/HB1003_.pdf)

## Related
- [SB 572: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB572-2025)
- [HB 431: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-HB431-2025)
- [HB 420: RELATING TO REMEDIES.](https://policyrisk.com/state-bill/HI-HB420-2025)
- [SB 1296: RELATING TO DISASTER RECOVERY.](https://policyrisk.com/state-bill/HI-SB1296-2025)
- [HB 830: RELATING TO HISTORIC PRESERVATION REVIEWS.](https://policyrisk.com/state-bill/HI-HB830-2025)
- [HB 1064: RELATING TO FIRE PROTECTION.](https://policyrisk.com/state-bill/HI-HB1064-2025)
- [Hawaii bills](https://policyrisk.com/states/hawaii/bills)
- [Hawaii state hub](https://policyrisk.com/states/hawaii)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/HI-HB1003-2025 (as of 2026-10-17).