HawaiiSB 8472025–2026 Regular Session (Year 2)SenateWALLET

RELATING TO PSYCHOLOGISTS.

Sponsored By: Dru Mamo Kanuha (Democratic)

Became Law

Summary

Establishes a three-year pilot program in the County of Kauai to allow qualified psychologists under the supervision of a supervising psychiatrist limited authority to prescribe certain psychotropic medications to patients between the ages of eighteen and sixty-five years under the care of the psychologist. Requires employers to report adverse events, patient outcomes, and escalation protocols relating to services provided under the pilot program to the State Health Planning and Development Agency. Requires the Board of Psychology to adopt rules. Requires the State Health Planning and Development Agency to report to the Legislature. Effective 7/1/3000. Sunsets 6/30/2031. (HD2)

SHPDABoard of PsychologyPrescriptive AuthorityClinical PsychologistsPilot ProgramSupervising Physician or PsychiatristFederally Qualified Health CentersCounty of KauaiCounty of HawaiiRulesReportHLT, CPC

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Bill Overview

Analyzed Economic Effects

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

Psychologists can prescribe mental health medicines

For three years, qualified clinical psychologists at federally qualified health centers in Kauai and Hawaii counties can prescribe psychotropic medicines to patients ages 18 through 65. A supervising physician or psychiatrist must oversee prescribing. Psychologists must meet state licensing rules, complete approved training, and pass an approved exam. Narcotics are excluded, but certain controlled substances are allowed under the pilot’s rules. Medicaid covers eligible pilot prescriptions when they would qualify for coverage if prescribed by a physician or psychiatrist. The state agency must report findings and recommendations to the legislature at least 20 days before the 2029 regular session, including whether to expand, make permanent, or end the pilot.

Sponsors & Cosponsors

Sponsor

  • Dru Mamo Kanuha

    Democratic • Senate

Cosponsors

  • Michelle N. Kidani

    Democratic • Senate

  • Herbert M. "Tim" Richards III

    Democratic • Senate

  • SAN BUENAVENTURA

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 224 • No: 11

Senate vote • 5/6/2026

Senate Floor Vote

Yes: 25 • No: 0

House vote • 5/6/2026

House Floor Vote

Yes: 44 • No: 7

Senate vote • 4/29/2026

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

Yes: 3 • No: 0

House vote • 4/29/2026

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

Yes: 4 • No: 0

House vote • 4/14/2026

House Floor Vote

Yes: 48 • No: 2

House vote • 4/9/2026

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

Yes: 11 • No: 0

House vote • 3/24/2026

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

Yes: 47 • No: 1

House vote • 3/20/2026

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

Yes: 9 • No: 0

Senate vote • 3/10/2026

Senate Floor Vote

Yes: 24 • No: 1

Senate vote • 2/26/2026

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

Yes: 4 • No: 0

Senate vote • 2/2/2026

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

Yes: 5 • No: 0

Actions Timeline

  1. Became law without the Governor's signature, Act 266, 07/16/2026, (Gov. Msg. No. 1370).

    7/16/2026Senate
  2. Became law without the Governor's signature, Act 266, 07/16/2026, (Gov. Msg. No. 1370).

    7/16/2026House
  3. Received notice of passage on Final Reading in House (Hse. Com. No. 888).

    5/8/2026Senate
  4. Enrolled to Governor.

    5/8/2026Senate
  5. Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: Senator(s) Moriwaki. Noes, 0 (none). Excused, 0 (none).

    5/6/2026Senate
  6. Passed Final Reading as amended in CD 1 with none voting aye with reservations; Representative(s) Amato, Grandinetti, Hashem, Hussey, Iwamoto, Kong, Perruso voting no (7) and none excused (0).

    5/6/2026House
  7. Received notice of Final Reading (Sen. Com. No. 816).

    5/6/2026House
  8. 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, Keohokalole, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.

    4/29/2026Senate
  9. The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 4 Ayes: Representative(s) Takayama, Matayoshi, Keohokapu-Lee Loy, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

    4/29/2026House
  10. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 94-26).

    4/29/2026Senate
  11. 48 Hrs. Notice (as amended CD 1) 05-06-26.

    4/29/2026Senate
  12. Reported from Conference Committee (Conf Com. Rep. No. 94-26) as amended in (CD 1).

    4/29/2026House
  13. Forty-eight (48) hours notice Wednesday, 05-06-26.

    4/29/2026House
  14. Conference committee meeting scheduled for 04-29-26 3:45PM; CR 329.

    4/28/2026Senate
  15. Senate Conferees Changed: Senator San Buenaventura added as Chair. Senator Fevella discharged as Conferee. Senator Kanuha discharged as Chair; Added as Member.

    4/23/2026Senate
  16. Received notice of change in Senate conferees (Sen. Com. No. 736).

    4/23/2026House
  17. Senate Conferees Appointed: Kanuha Chair; Keohokalole Co-Chair; Fevella.

    4/22/2026Senate
  18. Received notice of Senate conferees (Sen. Com. No. 723).

    4/22/2026House
  19. House Conferees Appointed: Takayama, Matayoshi Co-Chairs; Keohokapu-Lee Loy, Garcia.

    4/21/2026House
  20. Received notice of appointment of House conferees (Hse. Com. No. 800).

    4/21/2026Senate
  21. Received from House (Hse. Com. No. 606).

    4/16/2026Senate
  22. Senate disagrees with House amendments.

    4/16/2026Senate
  23. Received notice of disagreement (Sen. Com. No. 710).

    4/16/2026House
  24. Passed Third Reading as amended in HD 2 with Representative(s) Iwamoto voting aye with reservations; Representative(s) Amato, Kong voting no (2) and Representative(s) Quinlan excused (1). Transmitted to Senate.

    4/14/2026House
  25. Reported from CPC (Stand. Com. Rep. No. 2117-26) as amended in HD 2, recommending passage on Third Reading.

    4/10/2026House

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