# Hawaii SB 1322: RELATING TO MENTAL HEALTH.

Hawaii SB 1322, RELATING TO MENTAL HEALTH., is a 2025–2026 Regular Session (Year 1) Senate bill sponsored by Ronald D. Kouchi (Democratic); status signed, last action 2025-06-25 (Act 219, 06/25/2025 (Gov. Msg. No. 1321).); PRIA reads it as touching household money (as of 2026-10-27).

- Canonical: https://policyrisk.com/state-bill/HI-SB1322-2025
- As of: 2026-10-27
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Hawaii SB 1322
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO MENTAL HEALTH.
- Status: signed
- Chamber: Senate
- Introduced: 2025-01-21
- Last action: 2025-06-25, Act 219, 06/25/2025 (Gov. Msg. No. 1321).
- Sponsor: Ronald D. Kouchi (Democratic)
- Cosponsors: 0
- Subjects: DOH, Mental Health, Admission to Psychiatric Facility, Emergency Procedures, Involuntary Hospitalization, Assisted Community Treatment, Administration of Treatment Over Objection, HLT, JHA
- Touches household money: yes
- Roll calls: 11 (203 yes, 9 no in all)
- Economic provisions PRIA read: 6

## 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)

## Bill overview: provisions PRIA read

- Commitment records affect firearm permits: cost, low. 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.
- Court orders community mental health care: mixed, medium. 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 pe…
- Court-approved mental health treatment and medication: mixed, medium. 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 outw…
- New rules for mental health emergencies: mixed, medium. 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 noti…
- New checks before psychiatric discharge: mixed, low. 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 afterca…
- More mental health data sharing: mixed, low. 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 treatmen…

## Sponsors and cosponsors

- Sponsor: Ronald D. Kouchi (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-30 | House | House Floor Vote | pass | 41 | 9 |   |
| 2025-04-24 | Senate | The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS.... | pass | 3 | 0 |   |
| 2025-04-24 | House | The Conference Committee recommends that the measure be Passed, with Amendments.... | pass | 3 | 0 |   |
| 2025-04-08 | House | House Floor Vote | pass | 50 | 0 |   |
| 2025-03-25 | House | The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 10 | 0 |   |
| 2025-03-19 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA... | pass | 49 | 0 |   |
| 2025-03-14 | House | The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ... | pass | 9 | 0 |   |
| 2025-03-04 | Senate | Senate Floor Vote | pass | 25 | 0 |   |
| 2025-02-26 | Senate | The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |
| 2025-02-07 | Senate | The committee(s) on PSM recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |
| 2025-02-07 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |

## Actions (47)

- 2025-06-25: Act 219, 06/25/2025 (Gov. Msg. No. 1321). (Senate)
- 2025-06-25: Act 219, on 06/25/2025 (Gov. Msg. No. 1321). (House)
- 2025-05-02: Received notice of passage on Final Reading in House (Hse. Com. No. 821). (Senate)
- 2025-05-02: Enrolled to Governor. (Senate)
- 2025-05-01: Received notice of Final Reading (Sen. Com. No. 888). (House)
- 2025-04-30: Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none. (Senate)
- 2025-04-30: Passed 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). (House)
- 2025-04-24: The 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. (Senate)
- 2025-04-24: The 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. (House)
- 2025-04-24: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 87). (Senate)
- 2025-04-24: 48 Hrs. Notice (as amended CD 1) 04-30-25. (Senate)
- 2025-04-24: Reported from Conference Committee (Conf Com. Rep. No. 87) as amended in (CD 1). (House)
- 2025-04-24: Forty-eight (48) hours notice Wednesday, 04-30-25. (House)
- 2025-04-23: Conference committee meeting to reconvene on 04-24-25 3:30PM; Conference Room 329. (Senate)
- 2025-04-22: Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329. (Senate)
- 2025-04-15: Received notice of appointment of House conferees (Hse. Com. No. 731). (Senate)
- 2025-04-15: Senate Conferees Appointed: San Buenaventura Chair; Elefante, Rhoads Co-Chairs; Fevella. (Senate)
- 2025-04-15: Received notice of Senate conferees (Sen. Com. No. 789). (House)
- 2025-04-14: House Conferees Appointed: Takayama, Poepoe Co-Chairs; Garcia. (House)
- 2025-04-10: Received from House (Hse. Com. No. 680). (Senate)
- 2025-04-10: Senate disagrees with House amendments. (Senate)
- 2025-04-10: Received notice of disagreement (Sen. Com. No. 779). (House)
- 2025-04-08: Passed 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. (House)
- 2025-04-04: Reported from JHA (Stand. Com. Rep. No. 2032) as amended in HD 2, recommending passage on Third Reading. (House)
- 2025-04-04: Forty-eight (48) hours notice Tuesday, 04-08-25. (House)
- 2025-03-25: The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Cochran, Hashem, Perruso, Takayama, Todd, Garcia; Ayes with reservations: Representative(s) Shimizu; 0 Noes: none; and 1 Excused: Representative(s) Kahaloa. (House)
- 2025-03-21: Bill scheduled to be heard by JHA on Tuesday, 03-25-25 2:00PM in House conference room 325 VIA VIDEOCONFERENCE. (House)
- 2025-03-19: Reported from HLT (Stand. Com. Rep. No. 1367) as amended in HD 1, recommending passage on Second Reading and referral to JHA. (House)
- 2025-03-19: Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Ward excused (2). (House)
- 2025-03-14: The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. (House)
- 2025-03-11: Bill scheduled to be heard by HLT on Friday, 03-14-25 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. (House)
- 2025-03-06: Pass First Reading (House)
- 2025-03-06: Referred to HLT, JHA, referral sheet 19 (House)
- 2025-03-04: Report adopted; Passed Third Reading, as amended (SD 2). Ayes, 25; Aye(s) with reservations: none . Noes, 0 (none). Excused, 0 (none). Transmitted to House. (Senate)
- 2025-03-04: Received from Senate (Sen. Com. No. 305) in amended form (SD 2). (House)
- 2025-02-28: Reported from JDC (Stand. Com. Rep. No. 1020) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2025-02-28: 48 Hrs. Notice 03-04-25. (Senate)
- 2025-02-26: The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 4 Aye(s): Senator(s) Rhoads, Gabbard, Chang, San Buenaventura; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Awa. (Senate)
- 2025-02-21: The committee(s) on JDC will hold a public decision making on 02-26-25 9:40AM; Conference Room 016 & Videoconference. (Senate)
- 2025-02-14: Reported from HHS/PSM (Stand. Com. Rep. No. 590) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC. (Senate)
- 2025-02-14: Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. (Senate)
- 2025-02-07: The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella. (Senate)
- 2025-02-07: The committee(s) on PSM recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in PSM were as follows: 5 Aye(s): Senator(s) Elefante, Wakai, Fukunaga, Rhoads, DeCorte; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2025-01-31: The committee(s) on HHS/PSM has scheduled a public hearing on 02-07-25 3:10PM; Conference Room 225 & Videoconference. (Senate)
- 2025-01-27: Referred to HHS/PSM, JDC. (Senate)
- 2025-01-23: Introduced and passed First Reading. (Senate)
- 2025-01-21: Pending Introduction. (Senate)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_CD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1321_.PDF)
- SB1322_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_CD1_.HTM)
- SB1322_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_HD1_.HTM)
- SB1322_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_HD2_.HTM)
- SB1322_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_SD1_.HTM)
- SB1322_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_SD2_.HTM)

## Related bills

- 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)
- SB 1044: RELATING TO THE STABILIZATION OF PROPERTY INSURANCE. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_CD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/GM1321_.PDF)
- [SB1322_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_CD1_.HTM)
- [SB1322_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_HD1_.HTM)
- [SB1322_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_HD2_.HTM)
- [SB1322_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_SD1_.HTM)
- [SB1322_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1322_SD2_.HTM)

## Related
- [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)
- [SB 1044: RELATING TO THE STABILIZATION OF PROPERTY INSURANCE.](https://policyrisk.com/state-bill/HI-SB1044-2025)
- [Hawaii bills](https://policyrisk.com/states/hawaii/bills)
- [Hawaii state hub](https://policyrisk.com/states/hawaii)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB1322-2025 (as of 2026-10-27).