Status of Medical Aid in Dying

Medical aid in dying is currently authorized in Hawai‘i. Legislation is advancing to improve the Our Care, Our Choice Act. 

The Hawai‘i Our Care, Our Choice Act was signed into law by Governor David Ige on April 5, 2018, and went into effect on January 1, 2019.

On January 20, 2023, three bills were simultaneously submitted for consideration: 

  • In the Senate, SB 442-SD1 would authorize advanced practice registered nurses (APRNs) to prescribe and also authorize psychiatric mental health nurse practitioners , psychiatrists, psychologists and clinical social workers to counsel. After passing the Senate Health Committee, it was heard and passed out of the Senate Consumer Protection Committee on February 22. It was the bill’s last Senate hearing.

  • In the House, HB 650 HD1 would reduce the waiting period, allow APRNs to counsel and prescribe, and provide an expedited pathway for terminally ill qualified patients who are not expected to survive the mandatory waiting period. This bill has already passed through the House Health Committee and the House Consumer Affairs Committee. It received its final hearing in the House Committee on Judiciary & Hawaiian Affairs on February 24. 

  • On April 28, 2023, the bill to improve Hawaii's Our Care, Our Choice Act passed out of the House and is now headed to the Governor's desk for signing.

Read the full bill summary.  

Take Action: Sign our petition to tell lawmakers you support improving the Our Care, Our Choice Act


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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.