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SB1323HIEngrossed 2026 Regular Session

Relating To Health Care.

Last status update Mar 4, 2025

What this measure contains

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)

Source summary of the imported measure. Amendments can change the wording; read a specific version for its complete provisions.

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Read the full bill at its source ↗
Source: legiscan· Loaded Oct 30, 2026· Snapshot export date not suppliedOriginal record ↗

Bill text and versions

Drafts can change as a measure moves through the Legislature. Check the version attached to a recorded vote.

Related measures

  • HB1004— Same As
  • SB1323— Carry Over

Related measures may contain different language or follow different histories.

How this measure moved

Legislative path

Each stage below is a recorded decision from the official measure history, attached to the draft it considered. A member's row follows their votes from the first draft to the latest, and a highlighted vote marks where it changed. Committee and conference votes list every member by name. Floor votes list only exceptions; members serving that day who aren't named are shown as ayes in a dashed outline.

  1. Introduced
  2. SD1by HHS
  3. SD2by JDC
  4. HD1by HLT
  5. HD2by JHA
  6. CD1by Conference

Companion measures: HB1004, SB1323. A companion follows its own path; its votes are not combined with this one.

Decision stages

  1. Health and Human Services (HHS) on the introduced draft: Passed, with amendments, reported as SD1

    4 aye · 0 no · 1 excused · Source roll call

  2. Judiciary (JDC) on SD1: Passed, with amendments, reported as SD2

    4 aye · 0 no · 1 excused · Source roll call

  3. Senate third reading on SD2: Passed

    25 aye · 0 no · 0 excused

  4. House HLT committee on SD2: Passed, with amendments, reported as HD1

    9 aye · 0 no · 0 excused

  5. House second reading on HD1: Passed

    46 aye · 0 no · 5 excused

  6. House JHA committee on HD1: Passed, with amendments, reported as HD2

    10 aye · 0 no · 1 excused

  7. House third reading on HD2: Passed

    48 aye · 1 aye with reservations · 0 no · 1 excused

  8. Senate conference managers on HD2: Passed, with amendments, reported as CD1

    3 aye · 0 no · 1 excused · Source roll call

  9. House conference managers on HD2: Passed, with amendments, reported as CD1

    3 aye · 0 no · 0 excused · Source roll call

Senate members along the path

Senate members' votes at each stage of SB1323
MemberHHS
Introduced		JDC
SD1		Third reading
SD2		Conference
HD2		Change along the path
Henry AquinoSD-019AyeAye
Brenton AwaSD-023AyeAye
Stanley ChangSD-009AyeAye
Kurt FevellaSD-020ExcusedAyeExcused
Mike GabbardSD-021ExcusedAye
Troy HashimotoSD-005AyeAyeAye
Jarrett KeohokaloleSD-024AyeAye
Karl RhoadsSD-013AyeAyeAye
Joy San BuenaventuraSD-002AyeAyeAyeAye
16 more Senate members only counted as floor ayes
MemberHHS
Introduced		JDC
SD1		Third reading
SD2		Conference
HD2		Change along the path
Donovan CruzSD-017Aye
Lynn DecoiteSD-007Aye
Samantha DeCorteSD-022Aye
Brandon ElefanteSD-016Aye
Carol FukunagaSD-011Aye
Les IharaSD-010Aye
Lorraine InouyeSD-001Aye
Dru KanuhaSD-003Aye
Michelle KidaniSD-018Aye
Donna KimSD-014Aye
Ronald KouchiSD-008Aye
Chris LeeSD-025Aye
Angus McKelveySD-006Aye
Sharon MoriwakiSD-012Aye
Tim RichardsSD-004Aye
Glenn WakaiSD-015Aye

House members along the path

House members' votes at each stage of SB1323
MemberHLT
SD2		Second reading
HD1		JHA
HD1		Third reading
HD2		Conference
HD2		Change along the path
David AlcosHD-041AyeAyeAye
Terez AmatoHD-011AyeAyeAye
Della au BelattiHD-026AyeAyeAye
Cory ChunHD-035AyeAyeAye
Elle CochranHD-014ExcusedAyeExcused
Diamond GarciaHD-042AyeAyeAyeAyeAye
Andrew GarrettHD-022ExcusedAye
Mark HashemHD-019AyeAyeAye
Kim IwamotoHD-025AyeAye*Added reservations at House third reading (HD2)
Kirstin KahaloaHD-006AyeExcusedAye
Jeanne KapelaHD-005ExcusedAye
Sue Keohokapu-Lee LoyHD-002AyeAyeAye
Lisa KitagawaHD-048ExcusedAye
Lisa MartenHD-051AyeAyeAye
Ikaika OldsHD-023AyeAyeAye
Amy PerrusoHD-046AyeAyeAye
Mahina PoepoeHD-013AyeAyeAyeAye
Garner ShimizuHD-032AyeAyeAye
Gregg TakayamaHD-034AyeAyeAyeAyeAye
Jenna TakenouchiHD-027AyeAyeAye
David TarnasHD-008AyeAyeAye
Chris ToddHD-003AyeAyeAye
Gene WardHD-018Excused
28 more House members only counted as floor ayes
MemberHLT
SD2		Second reading
HD1		JHA
HD1		Third reading
HD2		Conference
HD2		Change along the path
Luke EvslinHD-016AyeAye
Rachele Fernandez LamosaoSD-019AyeAye
Tina GrandinettiHD-020AyeAye
Daniel HoltHD-028AyeAye
Ikaika HusseyHD-029AyeAye
Linda IchiyamaHD-031AyeAye
Greggor IlaganHD-004AyeAye
Darius KilaHD-044AyeAye
Sam KongHD-033AyeAye
Matthias KuschHD-001AyeAye
Trish La ChicaHD-037AyeAye
Mike LeeHD-050AyeAye
Nicole LowenHD-007AyeAye
Scot MatayoshiHD-049AyeAye
Lauren MatsumotoHD-038AyeAye
Tyson MiyakeHD-010AyeAye
Daynette MorikawaHD-017AyeAye
Chris MuraokaHD-045AyeAye
Nadine NakamuraHD-015AyeAye
Elijah PierickHD-039AyeAye
Sean QuinlanHD-047AyeAye
Julie Reyes OdaHD-040AyeAye
Jackson SayamaHD-021AyeAye
Kanani SouzaHD-043AyeAye
Adrian TamHD-024AyeAye
Shirley Ann TemploHD-030AyeAye
Justin WoodsonHD-009AyeAye
Kyle YamashitaHD-012AyeAye

Aye named · Aye* with reservations · Aye floor vote, not named as an exception · No · Excused · Changed reversed from the previous vote

Names are matched to legislators only when exactly one person fits; every printed name on this measure was matched. A missing vote means no record was found for that member at that stage, not a no vote. Committee codes follow the Legislature's abbreviations.Official measure history ↗

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Legislative 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).

Bill sponsors