# Hawaii SB 1323: RELATING TO HEALTH CARE.

Hawaii SB 1323, RELATING TO HEALTH CARE., is a 2025–2026 Regular Session (Year 1) Senate bill sponsored by Ronald D. Kouchi (Democratic); status passed house, last action 2025-04-30 (Recommitted to Conference Committee.) (as of 2026-10-27).

- Canonical: https://policyrisk.com/state-bill/HI-SB1323-2025
- 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 1323
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 1)
- Title: RELATING TO HEALTH CARE.
- Status: passed house
- Chamber: Senate
- Introduced: 2025-01-21
- Last action: 2025-04-30, Recommitted to Conference Committee.
- Sponsor: Ronald D. Kouchi (Democratic)
- Cosponsors: 0
- Subjects: Uniform Health Care Decisions Act (Modified), Advance Health Care Directives, Advance Mental Health Care Directives, HLT, JHA
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Adopts the Uniform Health Care Decisions Act (2023), as modified, to replace existing chapters related to advance health care directives and advance mental health care directives. (CD1)

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

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

## Actions (41)

- 2025-04-30: Recommitted to Conference Committee. (Senate)
- 2025-04-30: Recommitted to Conference committee as amended in CD 1 with none voting no and Representative(s) Cochran, Hussey excused. (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, Rhoads, Hashimoto; 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, Poepoe, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none. (House)
- 2025-04-24: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 88). (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. 88) 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; Rhoads Co-Chair; Hashimoto, 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)
- 2025-04-08: Received from House (Hse. Com. No. 605). (Senate)
- 2025-04-08: Senate disagrees with House amendments. (Senate)
- 2025-04-08: Received notice of disagreement (Sen. Com. No. 774). (House)
- 2025-04-04: 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)
- 2025-04-02: Reported from JHA (Stand. Com. Rep. No. 1780) as amended in HD 2, recommending passage on Third Reading. (House)
- 2025-04-02: Forty-eight (48) hours notice Friday, 04-04-25. (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, Shimizu; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Kahaloa. (House)
- 2025-03-21: Reported from HLT (Stand. Com. Rep. No. 1421) as amended in HD 1, recommending passage on Second Reading and referral to JHA. (House)
- 2025-03-21: 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, Garrett, Kapela, Kitagawa, Ward excused (5). (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: 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)
- 2025-03-14: Bill scheduled to be heard by HLT on Wednesday, 03-19-25 9:05AM 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. 306) in amended form (SD 2). (House)
- 2025-02-28: Reported from JDC (Stand. Com. Rep. No. 844) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2025-02-28: 48 Hrs. Notice 03-04-25. (Senate)
- 2025-02-20: 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, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Gabbard. (Senate)
- 2025-02-18: The committee(s) on JDC will hold a public decision making on 02-20-25 10:01AM; CR 016 & Videoconference. (Senate)
- 2025-02-14: Reported from HHS (Stand. Com. Rep. No. 532) 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)
- 2025-02-05: 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)
- 2025-01-31: The committee(s) on HHS has scheduled a public hearing on 02-05-25 1:00PM; Conference Room 225 & Videoconference. (Senate)
- 2025-01-27: Referred to HHS, 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/SB1323_CD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_.PDF)
- SB1323_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_CD1_.HTM)
- SB1323_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_HD1_.HTM)
- SB1323_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_HD2_.HTM)
- SB1323_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_SD1_.HTM)
- SB1323_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_SD2_.HTM)

## Related bills

- HB 431: RELATING TO HOUSING. (signed)
- HB 1064: RELATING TO FIRE PROTECTION. (signed)
- SB 1044: RELATING TO THE STABILIZATION OF PROPERTY INSURANCE. (signed)
- SB 1231: RELATING TO PARENTAGE. (signed)
- SB 935: RELATING TO GOVERNMENT. (signed)
- HB 703: RELATING TO KUPUNA HOUSING. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_CD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_.PDF)
- [SB1323_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_CD1_.HTM)
- [SB1323_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_HD1_.HTM)
- [SB1323_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_HD2_.HTM)
- [SB1323_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_SD1_.HTM)
- [SB1323_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2025/bills/SB1323_SD2_.HTM)

## Related
- [HB 431: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-HB431-2025)
- [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)
- [SB 1231: RELATING TO PARENTAGE.](https://policyrisk.com/state-bill/HI-SB1231-2025)
- [SB 935: RELATING TO GOVERNMENT.](https://policyrisk.com/state-bill/HI-SB935-2025)
- [HB 703: RELATING TO KUPUNA HOUSING.](https://policyrisk.com/state-bill/HI-HB703-2025)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB1323-2025 (as of 2026-10-27).