Status of Medical Aid in Dying

Medical aid in dying is currently authorized in Hawai‘i. Legislation to improve the Our Care, Our Choice Act (OCOCA) passed and was signed by Governor Josh Green on June 2, 2023. Improvements to the law include: 

  • Adding Advanced Practice Registered Nurses (APRNs) with prescriptive authority in the definitions of attending and consulting providers and psychiatric nurse practitioners in the definition of counseling providers, in alignment with their scope of practice.
  • Allowing APRNs to participate as providers under the Our Care, Our Choice Act helps address the disparity in access to participating providers, particularly in rural areas and on the neighboring islands.
  • Reducing the minimum 20-day waiting period between the first and second oral requests to five days.
  • If a patient meets the qualifications for medical aid in dying and is unlikely to survive the mandatory waiting period, the attending provider may waive the mandatory waiting period. Two of the largest healthcare systems found that a significant number of eligible patients die in exactly the way they do not want to during the mandatory minimum waiting period. This bill will allow a qualified patient’s attending provider to waive the waiting period if, in their medical judgment, the patient is unlikely to survive that waiting period.

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Education & Outreach

In January 2020 alone, Compassion & Choices participated in multiple events with volunteers and supporters, including a successful panel discussion on the one year anniversary of the Our Care, Our Choice Act’s implementation. Learn more about the Hawai‘i Our Care, Our Choice Act. 


Access our Translated Resources in Six Languages


Tools and Resources

simple blue medical cross graphic.For Patients Learn about the Our Care, Our Choice Act. You can also access information about the law in five languages.



tools for end of life planning and decision making.End-of-Life Planning Use our step-by-step guide to chart your journey or access the California advance directive directly here.



advance care planning and resources in Spanish, espanol.Recursos en Español Recursos en Español.



answers to questions about COVID-19, including treatment and end of life.COVID-19 Toolkit Get answers to your questions about COVID-19 and end of life care.



tools for end of life planning and decision making.Resources for Providers Find resources tailored to the needs of healthcare providers.



tools for documenting end-of-life for dementia.Dementia Values & Priorities Tool Use our tool to document your preferences to make sure you get the care you want.