HawaiiSB 14422025–2026 Regular Session (Year 1)SenateWALLET

RELATING TO MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS.

Sponsored By: Ronald D. Kouchi (Democratic)

Signed by Governor

Summary

Clarifies and updates the responsibilities of the Child and Adolescent Mental Health Division of the Department of Health to reflect the current mental health systems of care that address the mental health needs of children and adolescents in the State. (HD2)

DOHChild and Adolescent Mental Health DivisionChild and Adolescent Mental HealthServices PlanHLT/HSH, JHA

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Schools connect kids to mental health care

Hawaii’s health and education departments must agree on how schools connect children and teens with mental health care. The agreement covers referrals for evaluation and treatment, screening support, and training for school staff and parents. It also covers help for students with disabilities and ways to report unmet student needs.

More local mental health care for kids

The Department of Health must provide preventive, diagnostic, and treatment services as soon as reasonably possible after a child’s need is established. The law covers children from birth through age 17, but necessary services depend on available state or federal resources. A new health department division coordinates care, contracts with community providers, and develops specialized programs. Family guidance centers organize local services, or services in the closest county that can meet a child’s needs. The division also serves as the state Medicaid provider for intensive youth mental health services.

Hawaii plans child mental health services

The division must send a statewide child and adolescent mental health plan to the governor and legislature no later than 20 days before the 2027 regular session, and every five years after that. The plan must assess needs and resources, identify service gaps, and recommend ways to meet needs. Before submitting it, the Department of Health must hold at least one hearing in each county and three in the City and County of Honolulu. The plan must be open for public review and comment, and amendments require further public meetings.

Sponsors & Cosponsors

Sponsor

  • Ronald D. Kouchi

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 194 • No: 0

Senate vote • 4/16/2025

Senate Floor Vote

Yes: 23 • No: 0

House vote • 4/4/2025

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 • 3/21/2025

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

Yes: 46 • No: 0

House vote • 3/19/2025

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

Yes: 9 • No: 0

House vote • 3/19/2025

The committee on HSH 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 • 2/27/2025

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

Yes: 5 • No: 0

Senate vote • 2/27/2025

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

Yes: 13 • No: 0

Senate vote • 2/5/2025

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

Yes: 4 • No: 0

Actions Timeline

  1. Act 178, 06/06/2025 (Gov. Msg. No. 1278).

    6/6/2025Senate
  2. Act 178, on 06/06/2025 (Gov. Msg. No. 1278).

    6/6/2025House
  3. Passed Final Reading. Ayes, 23; Aye(s) with reservations: none. Noes, 0 (none). Excused, 2 (Senator(s) Fevella, Ihara).

    4/16/2025Senate
  4. Received notice of Final Reading (Sen. Com. No. 806).

    4/16/2025House
  5. Enrolled to Governor.

    4/16/2025Senate
  6. Reconsideration of action taken on 04-08-25 in disagreeing to the House amendments.

    4/15/2025Senate
  7. Senate agrees with House amendments. Placed on the calendar for Final Reading on 04-16-25.

    4/15/2025Senate
  8. One Day Notice 04-16-25

    4/15/2025Senate
  9. Received notice of reconsideration and Senate agreement (Sen. Com. No. 786).

    4/15/2025House
  10. Received from House (Hse. Com. No. 612).

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

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

    4/8/2025House
  13. Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Cochran excused (1). Transmitted to Senate.

    4/4/2025House
  14. Reported from JHA (Stand. Com. Rep. No. 1779) as amended in HD 2, recommending passage on Third Reading.

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

    4/2/2025House
  16. 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.

    3/25/2025House
  17. Reported from HLT/HSH (Stand. Com. Rep. No. 1426) as amended in HD 1, recommending passage on Second Reading and referral to JHA.

    3/21/2025House
  18. 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).

    3/21/2025House
  19. Bill scheduled to be heard by JHA on Tuesday, 03-25-25 2:00PM in House conference room 325 VIA VIDEOCONFERENCE.

    3/21/2025House
  20. 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; Noes: none; and Excused: none.

    3/19/2025House
  21. The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Marten, Olds, Amato, Chun, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.

    3/19/2025House
  22. Bill scheduled to be heard by HLT/HSH on Wednesday, 03-19-25 9:00AM in House conference room 329 VIA VIDEOCONFERENCE.

    3/14/2025House
  23. Pass First Reading

    3/6/2025House
  24. Referred to HLT/HSH, JHA, referral sheet 19

    3/6/2025House
  25. 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.

    3/4/2025Senate

Bill Text

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