HB 1004 Hawaii House · 2026 Regular Session

RELATING TO HEALTH CARE.

HB 1004 adopts the Uniform Health Care Decisions Act (2023) to replace Hawaii's existing chapters 327E and 327G in the Revised Statutes. The bill directly affects Hawaii residents by establishing a standardized framework for advance healthcare directives, appointing healthcare agents, and clarifying decision-making processes during medical emergencies. Key provisions include allowing individuals to formally document their healthcare preferences and designate a trusted person to make decisions if they become unable to do so. The law, effective July 1, 3000, aims to streamline and modernize healthcare decision-making across the state.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2025

Committee Review

Floor Vote

Governor

Introduced Jan 21, 2025 Last action Dec 8, 2025

Maddy AI version diff · 1 comparison

What changed between versions

HB1004 → HB1004_HD1 · 3 edits

MINOR

This bill updates Hawaii's advance health care laws by adopting the 2023 Uniform Health-Care Decisions Act. The primary change is renaming the legislation from 'Health-Care' to 'Health Care' (removing hyphens) to align with modern terminology and improve readability. The bill also updates internal references and formatting within the new chapter and related existing statutes.

TECHNICAL

Removed hyphens from terms like 'Health-Care' and 'Health-Care Decisions' throughout the text to standardize the language to 'Health Care'.

Updated internal cross-references to match the new section numbering and terminology changes.

Adjusted metadata and document headers to reflect the new version (HD1) and updated timestamps.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 12, 2025

Committee

Reported from HLT (Stand. Com. Rep. No. 512) as amended in HD 1, recommending passage on Second Reading and referral to JHA.

lower

Feb 7, 2025

Lower · Passed

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.

lower

Jan 23, 2025

Committee

Referred to HLT, JHA, referral sheet 3

lower

Jan 23, 2025

Introduced

Introduced and Pass First Reading.

lower

Jan 21, 2025

Introduced

Pending introduction.

lower

1 primary · 0 co-sponsors