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SB1323Introduced in the Senate

Relating To Health Care.

Engrossed

Introduced by Ronald Kouchi, District 8

What does this bill do?

Plain-English breakdown

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Official description

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)

Where it stands

Received notice of the discharge of all House Conferees (Hse. Com. No. 457).

April 2, 2026

How did lawmakers vote?

House votes

1 recorded vote · each counted separately

Senate votes

3 recorded votes · each counted separately

SenateStage: Senate Conference: Passed, With Amendments · April 24, 2025

3

Yes

0

No

1

Absent or Not Voting

4 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

See how each senator voted

SenatorDistrictVote
Joy San Buenaventura2Yes
Troy Hashimoto5Yes
Karl Rhoads13Yes
Kurt Fevella20Absent

Bill history

  1. Pending Introduction.

  2. Introduced and passed First Reading.

  3. Referred to HHS, JDC.

  4. The committee(s) on HHS has scheduled a public hearing on 02-05-25 1:00PM; Conference Room 225 & Videoconference.

  5. The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 4 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

  6. Reported from HHS (Stand. Com. Rep. No. 532) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.

  7. Report adopted; Passed Second Reading, as amended (SD 1) and referred to JDC.

  8. The committee(s) on JDC will hold a public decision making on 02-20-25 10:01AM; CR 016 & Videoconference.

  9. 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, Chang, San Buenaventura, Awa; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Gabbard.

  10. Reported from JDC (Stand. Com. Rep. No. 844) with recommendation of passage on Third Reading, as amended (SD 2).

  11. 48 Hrs. Notice 03-04-25.

  12. 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.

  13. Received from Senate (Sen. Com. No. 306) in amended form (SD 2).

  14. Pass First Reading

  15. Referred to HLT, JHA, referral sheet 19

  16. Bill scheduled to be heard by HLT on Wednesday, 03-19-25 9:05AM in House conference room 329 VIA VIDEOCONFERENCE.

  17. 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; 0 Noes: none; and 0 Excused: none.

  18. Reported from HLT (Stand. Com. Rep. No. 1421) as amended in HD 1, recommending passage on Second Reading and referral to JHA.

  19. 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).

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

  21. 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.

  22. Reported from JHA (Stand. Com. Rep. No. 1780) as amended in HD 2, recommending passage on Third Reading.

  23. Forty-eight (48) hours notice Friday, 04-04-25.

  24. Passed Third Reading as amended in HD 2 with Representative(s) Iwamoto voting aye with reservations; none voting no (0) and Representative(s) Cochran excused (1). Transmitted to Senate.

  25. Received from House (Hse. Com. No. 605).

  26. Senate disagrees with House amendments.

  27. Received notice of disagreement (Sen. Com. No. 774).

  28. House Conferees Appointed: Takayama, Poepoe Co-Chairs; Garcia.

  29. Received notice of appointment of House conferees (Hse. Com. No. 731).

  30. Senate Conferees Appointed: San Buenaventura Chair; Rhoads Co-Chair; Hashimoto, Fevella.

  31. Received notice of Senate conferees (Sen. Com. No. 789).

  32. Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.

  33. Conference committee meeting to reconvene on 04-24-25 3:30PM; Conference Room 329.

  34. 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, Rhoads, Hashimoto; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Fevella.

  35. The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 3 Ayes: Representative(s) Takayama, Poepoe, Garcia; Ayes with reservations: none; 0 Noes: none; and 0 Excused: none.

  36. Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 88).

  37. 48 Hrs. Notice (as amended CD 1) 04-30-25.

  38. Reported from Conference Committee (Conf Com. Rep. No. 88) as amended in (CD 1).

  39. Forty-eight (48) hours notice Wednesday, 04-30-25.

  40. Recommitted to Conference Committee.

  41. Recommitted to Conference committee as amended in CD 1 with none voting no and Representative(s) Cochran, Hussey excused.

  42. Carried over to 2026 Regular Session.

  43. Senate Conferee(s) discharged.

  44. Received notice of all Senate conferees being discharged (Sen. Com. No. 409).

  45. House Conferee(s) discharged.

  46. Received notice of the discharge of all House Conferees (Hse. Com. No. 457).

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