All Roll Calls
Yes: 203 • No: 9
HawaiiSB 13222025–2026 Regular Session (Year 1)SenateWALLET
RELATING TO MENTAL HEALTH.
Sponsored By: Ronald D. Kouchi (Democratic)
Signed by Governor
Summary
Requires the Department of Health to submit annual reports to the Legislature on emergency transportations and assisted community treatment petitions and orders, based on information provided by service providers and the Department of the Attorney General. Clarifies the procedures for emergency transportation, examination, and hospitalization for individuals who may be mentally ill or suffering from substance abuse who are imminently dangerous to self or others. Requires treatment providers to provide relevant information to the Attorney General for purposes of preparing an assisted community treatment petition. Amends the procedures for involuntary hospitalizations and assisted community treatment petitions. Clarifies the circumstances under which a subject of an assisted community treatment order can be administered medication over objection. Allows a single psychiatrist, rather than a panel of three, to provide administrative authorization for medical treatment over the objection of a patient who is in the custody of the Director of Health and in a psychiatric facility. (CD1)
DOHMental HealthAdmission to Psychiatric FacilityEmergency ProceduresInvoluntary HospitalizationAssisted Community TreatmentAdministration of Treatment Over ObjectionHLT, JHA
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Bill Overview
Analyzed Economic Effects
6 provisions identified: 0 benefits, 1 costs, 5 mixed.
Court orders community mental health care
A court can order assisted community treatment for up to two years. Before ordering it, the court needs testimony from a qualified examiner who recently examined the person and a written treatment plan. Hearings generally must be set within 10 days, and the court must dismiss a petition when the person does not meet the treatment criteria. An adult can ask the court not to notify certain family members.
Court-approved mental health treatment and medication
A court can approve medication during involuntary hospitalization when the person already has a community treatment order, and the medication must follow that order's plan. Courts can also authorize medication types or classes in a community treatment order after finding that expected benefits outweigh harms. The law also creates a facility process for treatment over objection, with notice, a hearing, and appeal rights, and lists rights for patients in psychiatric facilities.
New rules for mental health emergencies
The law sets rules for emergency transport, exams, and hospital stays for people who may be mentally ill or abusing substances and pose an immediate danger. Emergency stays generally last up to 72 hours, with extensions allowed in specified cases. People keep the right to a lawyer, and hearing notices must explain their rights in plain language. The law also changes family notice, hearing procedures, and some protective-order powers.
Commitment records affect firearm permits
The state must keep records of involuntary civil commitments for law enforcement use in firearm permits, licenses, and registration. This applies to commitments from any date and may affect the person's ability to qualify for firearm approval.
New checks before psychiatric discharge
Before discharge, a qualified examiner must assess whether community treatment is indicated for people held involuntarily, brought in for emergency care, or admitted voluntarily as inpatients. For some civil commitments, facility staff must also assess community treatment and may contact an aftercare provider. Facilities must give notice of planned discharge, but the law removes the former five-day period for objections and related court hearings.
More mental health data sharing
The health department must collect mental health service data and report to the Legislature each year before its regular session. Providers must share relevant treatment information when the state requests it for a community treatment petition. Petitioners, the state, and courts must share treatment orders with law enforcement or others needed to carry them out. The law also broadens some definitions of patients and treatment.
Sponsors & Cosponsors
Sponsor
Ronald D. Kouchi
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/30/2025
House Floor Vote
Yes: 41 • No: 9
Senate vote • 4/24/2025
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....
Yes: 3 • No: 0
House vote • 4/24/2025
The Conference Committee recommends that the measure be Passed, with Amendments....
Yes: 3 • No: 0
House vote • 4/8/2025
House Floor Vote
Yes: 50 • No: 0
House vote • 3/25/2025
The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 10 • No: 0
House vote • 3/19/2025
Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA...
Yes: 49 • No: 0
House vote • 3/14/2025
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...
Yes: 9 • No: 0
Senate vote • 3/4/2025
Senate Floor Vote
Yes: 25 • No: 0
Senate vote • 2/26/2025
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Senate vote • 2/7/2025
The committee(s) on PSM recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 5 • No: 0
Senate vote • 2/7/2025
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...
Yes: 4 • No: 0
Actions Timeline
Act 219, 06/25/2025 (Gov. Msg. No. 1321).
6/25/2025SenateAct 219, on 06/25/2025 (Gov. Msg. No. 1321).
6/25/2025HouseReceived notice of passage on Final Reading in House (Hse. Com. No. 821).
5/2/2025SenateEnrolled to Governor.
5/2/2025SenateReceived notice of Final Reading (Sen. Com. No. 888).
5/1/2025HousePassed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
4/30/2025SenatePassed Final Reading as amended in CD 1 with Representative(s) Belatti, Poepoe, Shimizu voting aye with reservations; Representative(s) Amato, Chun, Garrett, Grandinetti, Iwamoto, Perruso, Reyes Oda, Souza, Takenouchi voting no (9) and Representative(s) Cochran excused (1).
4/30/2025HouseThe 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, Elefante, Rhoads; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.
4/24/2025SenateThe Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Takayama, Garcia; Ayes with reservations: Representative(s) Poepoe; 0 Noes: none; and 0 Excused: none.
4/24/2025HouseReported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 87).
4/24/2025Senate48 Hrs. Notice (as amended CD 1) 04-30-25.
4/24/2025SenateReported from Conference Committee (Conf Com. Rep. No. 87) as amended in (CD 1).
4/24/2025HouseForty-eight (48) hours notice Wednesday, 04-30-25.
4/24/2025HouseConference committee meeting to reconvene on 04-24-25 3:30PM; Conference Room 329.
4/23/2025SenateConference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.
4/22/2025SenateReceived notice of appointment of House conferees (Hse. Com. No. 731).
4/15/2025SenateSenate Conferees Appointed: San Buenaventura Chair; Elefante, Rhoads Co-Chairs; Fevella.
4/15/2025SenateReceived notice of Senate conferees (Sen. Com. No. 789).
4/15/2025HouseHouse Conferees Appointed: Takayama, Poepoe Co-Chairs; Garcia.
4/14/2025HouseReceived from House (Hse. Com. No. 680).
4/10/2025SenateSenate disagrees with House amendments.
4/10/2025SenateReceived notice of disagreement (Sen. Com. No. 779).
4/10/2025HousePassed 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.
4/8/2025HouseReported from JHA (Stand. Com. Rep. No. 2032) as amended in HD 2, recommending passage on Third Reading.
4/4/2025HouseForty-eight (48) hours notice Tuesday, 04-08-25.
4/4/2025House
Bill Text
Bill Text
Original
SB1322_CD1
SB1322_HD1
SB1322_HD2
SB1322_SD1
SB1322_SD2
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