Healthcare

Adopts the Psychology Interjurisdictional Compact to regulate the practice of telepsychology and temporary in-person, face‑to‑face practice of psychology by psychologists across state boundaries in the performance of their psychological practice. Requires the Department of Commerce and Consumer Affairs to adopt rules to implement and administer the compact. Effective 7/1/3000. (HD1)

Appropriates funds for the Department of Health to develop and implement a public health and informational campaign and contract with community-based organizations to prevent substance misuse and treat substance use disorder among youth. Effective 7/1/3000. (HD1)

Allows the Public Utilities Commission to establish a lifeline baseline performance standard and medically essential needs energy program based on proposals from electric utilities. Effective 7/1/3000. (HD1)

Allows terminally ill patients and qualifying patients over sixty-five years of age with chronic diseases to use medical cannabis within specified health care facilities under certain conditions. Requires enforcement by the Department of Health. Effective 7/1/3000. (HD1)

Requires any hospital licensed by the Department of Health that has an operating room to adopt and implement policies to prevent exposure to surgical smoke. Effective 7/1/3000. (HD1)

Establishes the Hawaii Cannabis and Hemp Office within the Department of Commerce and Consumer Affairs to regulate all aspects of the cannabis plant. Beginning 1/1/2026, legalizes the personal adult use of cannabis. Establishes taxes on the retail sale of adult-use cannabis and the sale of medical cannabis. Adds new traffic offenses relating to the consumption or possession of marijuana or marijuana concentrate. Makes conforming amendments related to the legalization of personal adult use of cannabis. Beginning 1/1/2026, decriminalizes certain drug offenses related to marijuana and marijuana concentrate. Transfers the personnel and assets of the Department of Health and assets of the Department of Agriculture relating to cannabis to the Hawaii Cannabis and Hemp Office. Establishes various positions within state entities to regulate the personal adult use of cannabis. Appropriates funds. Effective 7/1/3000. (HD1)

HB 1118 prohibits new non-medical immunization exemptions (such as religious or philosophical exemptions) for school-aged children in Hawaii. It directly affects parents seeking exemptions for their children and school districts enforcing vaccination requirements. The bill's key provision bans the creation of any new non-medical exemptions, though existing exemptions remain valid. It will take effect on July 1, 3000 (a placeholder date likely indicating future implementation). This policy change aims to strengthen school immunization standards by limiting exemption options.