# Hawaii SB 1323: RELATING TO HEALTH CARE.

Hawaii SB 1323, RELATING TO HEALTH CARE., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by Ronald D. Kouchi (Democratic); status failed, last action 2026-04-02 (Received notice of the discharge of all House Conferees (Hse. Com. No. 457).) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB1323-2026
- As of: 2026-11-01
- 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 2)
- Title: RELATING TO HEALTH CARE.
- Status: failed
- Chamber: Senate
- Introduced: 2025-01-21
- Last action: 2026-04-02, Received notice of the discharge of all House Conferees (Hse. Com. No. 457).
- 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
- Roll calls: 9 (154 yes, 0 no in all)
- 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

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 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 |   |
| 2025-04-04 | 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 |   |
| 2025-03-21 | House | Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA... | pass | 46 | 0 |   |
| 2025-03-19 | 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 |   |
| 2025-02-20 | Senate | The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |
| 2025-02-05 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 0 |   |

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_CD1_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_.PDF)
- SB1323_CD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_CD1_.HTM)
- SB1323_HD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_HD1_.HTM)
- SB1323_HD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_HD2_.HTM)
- SB1323_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_SD1_.HTM)
- SB1323_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_SD2_.HTM)

## Related bills

- SB 847: RELATING TO PSYCHOLOGISTS. (became law)
- HB 2344: RELATING TO SCHOOL FACILITIES. (signed)
- HB 2023: RELATING TO TRANSPORTATION. (signed)
- HB 2021: RELATING TO TRANSPORTATION. (signed)
- SB 2338: RELATING TO HOUSING. (signed)
- HB 1973: RELATING TO HEALTH. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_CD1_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_.PDF)
- [SB1323_CD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_CD1_.HTM)
- [SB1323_HD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_HD1_.HTM)
- [SB1323_HD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_HD2_.HTM)
- [SB1323_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_SD1_.HTM)
- [SB1323_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB1323_SD2_.HTM)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [HB 2344: RELATING TO SCHOOL FACILITIES.](https://policyrisk.com/state-bill/HI-HB2344-2026)
- [HB 2023: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2023-2026)
- [HB 2021: RELATING TO TRANSPORTATION.](https://policyrisk.com/state-bill/HI-HB2021-2026)
- [SB 2338: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB2338-2026)
- [HB 1973: RELATING TO HEALTH.](https://policyrisk.com/state-bill/HI-HB1973-2026)
- [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-SB1323-2026 (as of 2026-11-01).