SB 1433 Hawaii Senate · 2025 Regular Session

RELATING TO HARM REDUCTION.

Summary
Amends the distribution system of sterile needles and syringes under the Sterile Needle and Syringe Exchange Program from a one-to-one exchange system to a needs-based distribution system. Authorizes non-injection drug user participation in the Program. Modifies liability for Program participants, staff, and law enforcement officers. (CD1)
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 21, 2025 Signed May 29, 2025
Maddy AI version diff · 5 comparisons

What changed between versions

SB1433_SD1 SB1433_SD2 · 5 edits
MODERATE
This bill updates Hawaii's sterile needle and syringe exchange program to shift from a strict one-to-one exchange model to a needs-based distribution system, allowing participants to receive multiple sterile needles and syringes at once. It expands program eligibility to include non-injection drug users and clarifies legal protections for participants and staff regarding drug residue on used equipment. These changes aim to reduce disease transmission, improve public health outcomes, and align Hawaii's program with evidence-based practices recommended by the CDC.
Scope change
The bill expands the program's scope from strictly serving injection drug users to also serving non-injection drug users who need harm reduction supplies and referrals.
ELIGIBILITY

Removes the requirement that the program exclude non-injection drug users, allowing them to receive harm reduction information, supplies, and referrals.

REQUIREMENT

Changes the distribution system from a one-to-one exchange (one sterile needle/syringe for each used one) to a needs-based distribution system that provides sufficient quantities to reduce sharing.

DEFINITION

Adds new definitions for 'authorized objects' (cookware, cotton, ties), 'needs-based distribution', 'program staff', and 'residue' while removing the old definition of 'participant'.

ENFORCEMENT

Extends criminal liability protections to include possession of used needles/syringes with drug residue for two months after the last program visit, and provides immunity for law enforcement officers who arrest exempt individuals in good faith.

Broadens liability protections to cover 'authorized objects' and clarifies that delivery of needles/syringes is limited to program staff or other participants.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
45
Key actions
15
Committee
15
Amendments
2
Apr 30, 2025
Lower · Passed
Passed Final Reading as amended in CD 1 with Representative(s) Souza voting aye with reservations; Representative(s) Alcos, Chun, Garcia, Kila, Kong, Lamosao, Lee, M., Matsumoto, Muraoka, Olds, Pierick, Reyes Oda, Shimizu voting no (13) and Representative(s) Cochran excused (1).
lower
Apr 30, 2025
Upper · Passed
Passed Final Reading, as amended (CD 1). Ayes, 23; Aye(s) with reservations: none. Noes, 2 (Senator(s) Awa, DeCorte). Excused, 0 (none).
upper
Apr 24, 2025
Lower · Passed
Reported from Conference Committee (Conf Com. Rep. No. 69) as amended in (CD 1).
lower
Apr 24, 2025
Introduced
48 Hrs. Notice (as amended CD 1) 04-30-25.
upper
Apr 24, 2025
Upper · Passed
Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 69).
upper
Apr 23, 2025
Upper · Passed
The Conference committee recommends that the measure be PASSED, WITH AMENDMENTS. The votes of the Senate Conference Managers were as follows: 4 Aye(s): Senator(s) San Buenaventura, Rhoads, Hashimoto, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
upper
Apr 23, 2025
Lower · Passed
The Conference Committee recommends that the measure be Passed, with Amendments. The votes were as follows: 2 Ayes: Representative(s) Takayama, Poepoe; Ayes with reservations: none; 1 Noes: Representative(s) Garcia; and 0 Excused: none.
lower
Apr 22, 2025
Upper · Passed
Conference committee meeting scheduled for 04-23-25 3:30PM; Conference Room 329.
upper
Apr 8, 2025
Amended
Senate disagrees with House amendments.
upper
Apr 8, 2025
Introduced
Received from House (Hse. Com. No. 611).
upper
Apr 4, 2025
Lower · Passed
Passed Third Reading as amended in HD 2 with Representative(s) Hussey, Olds, Reyes Oda voting aye with reservations; Representative(s) Alcos, Garcia, Kila, Kong, Lamosao, Matsumoto, Muraoka, Pierick, Shimizu voting no (9) and Representative(s) Cochran excused (1). Transmitted to Senate.
lower
Mar 25, 2025
Lower · Passed
The committee on JHA recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 8 Ayes: Representative(s) Tarnas, Poepoe, Belatti, Cochran, Hashem, Perruso, Takayama, Todd; Ayes with reservations: none; 2 Noes: Representative(s) Garcia, Shimizu; and 1 Excused: Representative(s) Kahaloa.
lower
Mar 18, 2025
Committee
Reported from HLT (Stand. Com. Rep. No. 1310) as amended in HD 1, recommending passage on Second Reading and referral to JHA.
lower
Mar 14, 2025
Lower · Passed
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 7 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Takenouchi; Ayes with reservations: Representative(s) Olds; 2 Noes: Representative(s) Alcos, Garcia; and 0 Excused: none.
lower
Mar 6, 2025
Committee
Referred to HLT, JHA, referral sheet 19
lower
Mar 4, 2025
Introduced
Received from Senate (Sen. Com. No. 332) in amended form (SD 2).
lower
Mar 4, 2025
Upper · Passed
Report Adopted; Passed Third Reading, as amended (SD 2). Ayes, 23; Aye(s) with reservations: none. Noes, 2 (Senator(s) Awa, DeCorte). Excused, 0 (none). Transmitted to House.
upper
Feb 20, 2025
Upper · Passed
The committee(s) on JDC recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in JDC were as follows: 3 Aye(s): Senator(s) Rhoads, Chang, San Buenaventura; Aye(s) with reservations: none ; 1 No(es): Senator(s) Awa; and 1 Excused: Senator(s) Gabbard.
upper
Feb 18, 2025
Upper · Passed
The committee(s) on JDC will hold a public decision making on 02-20-25 10:01AM; CR 016 & Videoconference.
upper
Feb 13, 2025
Committee
Reported from HHS (Stand. Com. Rep. No. 420) with recommendation of passage on Second Reading, as amended (SD 1) and referral to JDC.
upper
Feb 3, 2025
Upper · Passed
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, Aquino, Hashimoto, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none.
upper
Jan 31, 2025
Upper · Passed
The committee(s) on HHS has scheduled a public hearing on 02-03-25 1:00PM; Conference Room 225 & Videoconference.
upper
Jan 27, 2025
Committee
Referred to HHS, JDC.
upper
Jan 23, 2025
Introduced
Introduced and passed First Reading.
upper
Jan 21, 2025
Introduced
Pending Introduction.
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ron Kouchi
Ron Kouchi
DDemocratic
HI
8