# Hawaii SB 3077: RELATING TO HEALTH CARE.

Hawaii SB 3077, RELATING TO HEALTH CARE., is a 2025–2026 Regular Session (Year 2) Senate bill sponsored by Ronald D. Kouchi (Democratic); status failed, last action 2026-03-12 (Pass First Reading) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/HI-SB3077-2026
- 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 3077
- State: Hawaii
- Session: 2025–2026 Regular Session (Year 2)
- Title: RELATING TO HEALTH CARE.
- Status: failed
- Chamber: Senate
- Introduced: 2026-01-26
- Last action: 2026-03-12, Pass First Reading
- Sponsor: Ronald D. Kouchi (Democratic)
- Cosponsors: 0
- Subjects: Uniform Health Care Decisions Act (Modified), Advance Health Care Directives, Advance Mental Health Care Directives, Working Group, Report, HLT, JHA
- Touches household money: no
- Roll calls: 3 (31 yes, 4 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. Requires the Attorney General to convene a working group. Requires a report to the Legislature. Effective 1/30/2050. Implementation effective 7/1/20209. (SD2)

## 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 |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-10 | Senate | Senate Floor Vote | pass | 22 | 3 |   |
| 2026-03-05 | Senate | The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 4 | 1 |   |
| 2026-02-13 | Senate | The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENT... | pass | 5 | 0 |   |

## Actions (16)

- 2026-03-12: Pass First Reading (House)
- 2026-03-12: Referred to HLT, JHA, referral sheet 17 (House)
- 2026-03-10: Report Adopted; Passed Third Reading, as amended (SD 2). Ayes, 22; Aye(s) with reservations: none. Noes, 3 (Senator(s) Awa, DeCorte, Fevella). Excused, 0 (none). Transmitted to House. (Senate)
- 2026-03-10: Received from Senate (Sen. Com. No. 357) in amended form (SD 2). (House)
- 2026-03-06: Reported from JDC (Stand. Com. Rep. No. 3076) with recommendation of passage on Third Reading, as amended (SD 2). (Senate)
- 2026-03-06: 48 Hrs. Notice 03-10-26. (Senate)
- 2026-03-05: 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 ; 1 No(es): Senator(s) Awa; and 0 Excused: none. (Senate)
- 2026-02-25: The committee(s) on JDC will hold a public decision making on 03-05-26 10:01AM; Conference Room 016 & Videoconference. (Senate)
- 2026-02-19: Reported from HHS (Stand. Com. Rep. No. 2424) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC. (Senate)
- 2026-02-19: Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC. (Senate)
- 2026-02-13: The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, Kanuha, Keohokalole; Aye(s) with reservations: Senator(s) McKelvey, Fevella ; 0 No(es): none; and 0 Excused: none. (Senate)
- 2026-02-10: The committee(s) on HHS added the measure to the public hearing scheduled on 02-13-26 1:00PM; CR 225 & Videoconference. (Senate)
- 2026-01-30: Referred to HHS, JDC. (Senate)
- 2026-01-28: Introduced. (Senate)
- 2026-01-28: Passed First Reading. (Senate)
- 2026-01-26: Pending Introduction. (Senate)

## Bill text

- Bill Text: [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3077_SD2_.pdf)
- Original: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3077_.HTM), [PDF](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3077_.PDF)
- SB3077_SD1: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3077_SD1_.HTM)
- SB3077_SD2: [HTML](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3077_SD2_.HTM)

## Related bills

- SB 847: RELATING TO PSYCHOLOGISTS. (became law)
- SB 2338: RELATING TO HOUSING. (signed)
- HB 2344: RELATING TO SCHOOL FACILITIES. (signed)
- HB 2023: RELATING TO TRANSPORTATION. (signed)
- HB 2021: RELATING TO TRANSPORTATION. (signed)
- SB 2964: RELATING TO PROPERTY INSURANCE. (signed)

## Sources
- [Bill Text (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3077_SD2_.pdf)
- [Original (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3077_.HTM)
- [Original (PDF)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3077_.PDF)
- [SB3077_SD1 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3077_SD1_.HTM)
- [SB3077_SD2 (HTML)](https://data.capitol.hawaii.gov/sessions/session2026/bills/SB3077_SD2_.HTM)

## Related
- [SB 847: RELATING TO PSYCHOLOGISTS.](https://policyrisk.com/state-bill/HI-SB847-2026)
- [SB 2338: RELATING TO HOUSING.](https://policyrisk.com/state-bill/HI-SB2338-2026)
- [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 2964: RELATING TO PROPERTY INSURANCE.](https://policyrisk.com/state-bill/HI-SB2964-2026)
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- [Hawaii state hub](https://policyrisk.com/states/hawaii)
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Source: PRIA, https://policyrisk.com/state-bill/HI-SB3077-2026 (as of 2026-11-01).