HawaiiSB 14332025–2026 Regular Session (Year 1)SenateWALLET

RELATING TO HARM REDUCTION.

Sponsored By: Ronald D. Kouchi (Democratic)

Signed by Governor

Summary

Amends the distribution system of sterile needles and syringes under the Sterile Needle and Syringe Exchange Program from a one-to-one exchange system to a needs-based distribution system. Authorizes non-injection drug user participation in the Program. Modifies liability for Program participants, staff, and law enforcement officers. (CD1)

Department of HealthSterile Needle and Syringe Exchange ProgramNeeds-Based DistributionNon-Injection Drug User ParticipationLiabilityHLT, JHA

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 3 benefits, 1 costs, 0 mixed.

Legal protection for syringe program users

Program staff acting in official duties are protected from listed drug offenses for possessing needles, syringes, and Department-approved items. Staff may deliver needles, syringes, and approved items only to program staff or participants through the program. Participants are protected when possessing needles or approved items during a program visit. For used syringes with drug residue, participant protection lasts only two months after the last visit, and any delivery must go to program staff. These protections do not cover nonparticipants or other drug-law violations.

More sterile needles and support

People in Hawaii’s syringe exchange program get sterile needles and syringes based on need, without returning one used item for each new one. The amount must be enough to reduce sharing or reuse. The program also provides infection-risk education, counseling, and treatment referrals. Screened people who do not inject drugs can get other program services, but not needles or syringes.

Good-faith legal protection for officers

A law enforcement officer acting in good faith is protected from civil liability for merely arresting or charging someone later found exempt from an offense under this section.

Health department tracks program results

The health department must keep exchange sites and equipment secure, track supplies, and record which staff are authorized to handle them. It must collect data on risk behaviors, treatment, services, and disease transmission. Each year by January 1, it reports participant numbers and demographics, program results, treatment referrals, costs compared with HIV-related costs, and recommendations on whether to continue or change the program.

Sponsors & Cosponsors

Sponsor

  • Ronald D. Kouchi

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 196 • No: 38

Senate vote • 4/30/2025

Senate Floor Vote

Yes: 23 • No: 2

House vote • 4/30/2025

House Floor Vote

Yes: 37 • No: 13

House vote • 4/23/2025

The Conference Committee recommends that the measure be Passed, with Amendments....

Yes: 2 • No: 1

Senate vote • 4/23/2025

The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS....

Yes: 4 • No: 0

House vote • 4/4/2025

House Floor Vote

Yes: 41 • No: 9

House vote • 3/25/2025

The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The ...

Yes: 8 • No: 2

House vote • 3/18/2025

Passed Second Reading as amended in HD 1 and referred to the committee(s) on JHA...

Yes: 43 • No: 6

House vote • 3/14/2025

The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The ...

Yes: 7 • No: 2

Senate vote • 3/4/2025

Senate Floor Vote

Yes: 23 • No: 2

Senate vote • 2/20/2025

The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 3 • No: 1

Senate vote • 2/3/2025

The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT...

Yes: 5 • No: 0

Actions Timeline

  1. Act 106, 05/29/2025 (Gov. Msg. No. 1206).

    5/29/2025Senate
  2. Act 106, on 05/29/2025 (Gov. Msg. No. 1206).

    5/29/2025House
  3. Received notice of passage on Final Reading in House (Hse. Com. No. 821).

    5/2/2025Senate
  4. Enrolled to Governor.

    5/2/2025Senate
  5. Received notice of Final Reading (Sen. Com. No. 888).

    5/1/2025House
  6. Passed Final Reading, as amended (CD 1). Ayes, 23; Aye(s) with reservations: none. Noes, 2 (Senator(s) Awa, DeCorte). Excused, 0 (none).

    4/30/2025Senate
  7. Passed Final Reading as amended in CD 1 with Representative(s) Souza voting aye with reservations; Representative(s) Alcos, Chun, Garcia, Kila, Kong, Lamosao, Lee, M., Matsumoto, Muraoka, Olds, Pierick, Reyes Oda, Shimizu voting no (13) and Representative(s) Cochran excused (1).

    4/30/2025House
  8. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 69).

    4/24/2025Senate
  9. 48 Hrs. Notice (as amended CD 1) 04-30-25.

    4/24/2025Senate
  10. Reported from Conference Committee (Conf Com. Rep. No. 69) as amended in (CD 1).

    4/24/2025House
  11. Forty-eight (48) hours notice Wednesday, 04-30-25.

    4/24/2025House
  12. The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 2 Ayes: Representative(s) Takayama, Poepoe; Ayes with reservations: none; 1 Noes: Representative(s) Garcia; and 0 Excused: none.

    4/23/2025House
  13. The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 4 Aye(s): Senator(s) San Buenaventura, Rhoads, Hashimoto, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

    4/23/2025Senate
  14. Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.

    4/22/2025Senate
  15. Received notice of appointment of House conferees (Hse. Com. No. 731).

    4/15/2025Senate
  16. Senate Conferees Appointed: San Buenaventura Chair; Rhoads Co-Chair; Hashimoto, Fevella.

    4/15/2025Senate
  17. Received notice of Senate conferees (Sen. Com. No. 789).

    4/15/2025House
  18. House Conferees Appointed: Takayama, Poepoe Co-Chairs; Garcia.

    4/14/2025House
  19. Received from House (Hse. Com. No. 611).

    4/8/2025Senate
  20. Senate disagrees with House amendments.

    4/8/2025Senate
  21. Received notice of disagreement (Sen. Com. No. 774).

    4/8/2025House
  22. Passed Third Reading as amended in HD 2 with Representative(s) Hussey, Olds, Reyes Oda voting aye with reservations; Representative(s) Alcos, Garcia, Kila, Kong, Lamosao, Matsumoto, Muraoka, Pierick, Shimizu voting no (9) and Representative(s) Cochran excused (1). Transmitted to Senate.

    4/4/2025House
  23. Reported from JHA (Stand. Com. Rep. No. 1782) as amended in HD 2, recommending passage on Third Reading.

    4/2/2025House
  24. Forty-eight (48) hours notice Friday, 04-04-25.

    4/2/2025House
  25. The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Cochran, Hashem, Perruso, Takayama, Todd; Ayes with reservations: none; 2 Noes: Representative(s) Garcia, Shimizu; and 1 Excused: Representative(s) Kahaloa.

    3/25/2025House

Bill Text

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