SB 1150 Hawaii Senate · 2025 Regular Session

RELATING TO HEALTH CARE.

Summary

Expands the protections established under Act 2, SLH 2023, to include gender-affirming health care services. Clarifies jurisdiction under the Uniform Child-Custody Jurisdiction and Enforcement Act for cases involving children who obtain gender-affirming health care services. Effective 12/31/2050. (SD1)

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2025

Committee Review

Floor Vote

Governor

Introduced Jan 17, 2025 Last action Feb 26, 2025

Maddy AI version diff · 1 comparison

What changed between versions

SB1150 → SB1150_SD1 · 8 edits

MODERATE

This bill expands Hawaii's existing reproductive health protections to explicitly include gender-affirming health care services across multiple areas of state law. It prevents out-of-state laws from being used to remove children from parents seeking gender-affirming care, protects medical professionals from disciplinary action based on lawful gender-affirming care, and ensures confidentiality for these services. The changes strengthen protections for both reproductive and gender-affirming care by making them legally equivalent in most contexts.

Scope change

Expanded from only reproductive health care services to include both reproductive health care services and gender-affirming health care services in nearly all provisions

DEFINITION

Added comprehensive definition of 'gender-affirming health care services' to include medically necessary care that respects gender identity, mental health care, and behavioral health services

ADDED

Added explicit prohibition on out-of-state laws being used to remove children from parents seeking gender-affirming health care services

ENFORCEMENT

Modified licensing board disciplinary actions to exclude gender-affirming health care services from grounds for discipline when those services are lawful under Hawaii law

Added protections preventing state agencies from expending resources on out-of-state investigations targeting gender-affirming health care services

Added provisions preventing courts from declaring inconvenient forum when gender-affirming care access is at issue in custody cases

Added explicit prohibition on enforcing out-of-state laws that ban or restrict gender-affirming health care services

REQUIREMENT

Modified confidentiality provisions to protect gender-affirming health care information with the same protections as reproductive health care information

ELIGIBILITY

Modified medical licensing provisions to exclude gender-affirming health care services from grounds for license denial or revocation when services are lawful under Hawaii law

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 21, 2025

Upper · Passed

The committee(s) on JDC/WAM will hold a public decision making on 02-26-25 10:05AM; Conference Room 211 & Videoconference.

upper

Feb 14, 2025

Committee

Reported from HHS/CPN (Stand. Com. Rep. No. 650) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC/WAM.

upper

Feb 12, 2025

Upper · Passed

The committee(s) on CPN recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in CPN were as follows: 3 Aye(s): Senator(s) Keohokalole, Fukunaga, Richards; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 1 Excused: Senator(s) McKelvey.

upper

Feb 12, 2025

Upper · Passed

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 ; 1 No(es): Senator(s) Fevella; and 0 Excused: none.

upper

Feb 6, 2025

Upper · Passed

The committee(s) on HHS/CPN has scheduled a public hearing on 02-11-25 9:45AM; Conference Room 229 & Videoconference.

upper

Jan 23, 2025

Committee

Referred to HHS/CPN, JDC/WAM.

upper

Jan 17, 2025

Introduced

Introduced.

upper

1 primary · 0 co-sponsors