Honolulu, Hawaii

, 2023


RE: S.B. No. 1

S.D. 2





Honorable Scott K. Saiki

Speaker, House of Representatives

Thirty-Second State Legislature

Regular Session of 2023

State of Hawaii




Your Committees on Health & Homelessness and Judiciary & Hawaiian Affairs, to which was referred S.B. No. 1, S.D. 2, entitled:




beg leave to report as follows:


The purpose of this measure is to:


(1) Repeal the requirement that abortions be performed at certain locations;


(2) Allow licensed physician assistants to perform certain abortions;


(3) Clarify that the State shall not deny or interfere with a pregnant person's right to obtain an abortion or terminate a pregnancy, if termination is necessary to protect the life and health of the pregnant person;


(4) Define "abortion" and "nonviable fetus";


(5) Remove penalties for knowingly violating abortion laws;


(6) Establish certain rights regarding reproductive health care services, including:


(A) Prohibiting disclosure of certain communication or information by certain covered entities;


(B) Prohibiting courts or court clerks from issuing certain subpoenas;


(C) Prohibiting agencies from providing certain information or expending resources in response to out-of-state parties seeking to impose certain civil or criminal liability;


(D) Prohibiting the State from taking adverse action against an individual based on the individual's pregnancy outcomes or for aiding or assisting a pregnant individual who is accessing reproductive health care services; and


(E) Requiring the Governor to deny demands for surrender of persons charged with certain crimes in another state related to reproductive health care;


(7) Declare certain laws as contrary to the public policy of the State;


(8) Prohibit the issuance of a summons for persons to testify in another state regarding reproductive health care services that are lawful in the State, unless the acts would also constitute an offense in this State;


(9) Clarify under various licensing statutes that the provision or assistance in receipt or provision of certain reproductive health care services cannot form the basis for disciplinary action;


(10) Prohibit the enforcement of a judgment or other order arising from a foreign penal civil action or other penal law with respect to protected reproductive health care services; and


(11) Amend the definition of "medical care and services" so that a minor may consent to receive abortion care without any other person's consent.


Your Committees received testimony in support of this measure from the Department of Health; Department of Human Services; Department of the Attorney General; Hawaii Civil Rights Commission; one member of the Kauai County Council; one member of the Hawaii County Council; Hawaii State Center for Nursing; Women's Caucus of the Democratic Party of Hawaii; Patsy T. Mink PAC; AlohaCare; Stonewall Caucus of the Democratic Party of Hawaii; Hawaii State Coalition Against Domestic Violence; Americans for Democratic Action; Papa Ola Lokahi; Pride @ Work - Hawaii; We Are One, Inc.; Rainbow Family 808; Hawaii Association of Professional Nurses; Healthcare Association of Hawaii; Hawaii Academy of Physician Assistants; Hawaii Public Health Institute; Kaiser Permanente Hawaii; Hawaii Association of Health Plans; UNITE HERE Local 5; Ahahui o nā Kauka; UpCountry Doctor; Imua Alliance; Hawaii Women Lawyers; American Association of University Women of Hawaii; American Civil Liberties Union of Hawaii; Hawaii Medical Association; American College of Obstetricians and Gynecologists, Hawaii Section; Democratic Party of Hawaii; Hawaii Medical Service Association; Hawaii Maternal & Infant Health Collaborative; Planned Parenthood Alliance Advocates Hawaii; and numerous individuals. Your Committees received testimony in opposition to this measure from the Hawaii Federation of Republican Women, Hawaii Family Forum, and numerous individuals. Your Committees received comments on this measure from the Office of Information Practices, Hawaii Medical Board, and Board of Nursing.


Your Committees find that Hawaii has a strong commitment to the protection of civil rights. The State has long been at the forefront of ensuring safe access to reproductive health care, and in 1970, became the first state in the nation to legalize abortion. Your Committees further find that recent developments in the country's legal landscape threaten the State's policy to protect an individuals' right to safely receive reproductive health care, including obtaining an abortion. For nearly fifty years, the United States Supreme Court's decision in Roe v. Wade, 410 U.S. 113 (1973), established a fundamental right for an individual to access abortion based on a constitutional right to privacy. However, in June 2022, the Supreme Court overturned Roe v. Wade and half a century of federal precedent regarding reproductive rights when it held in Dobbs v. Jackson Women's Health Organization, 142 S.Ct. 2228 (2022) that the United States Constitution does not confer a right to abortion.


In response to the Dobbs ruling, many states have either banned or severely restricted access to abortion. Furthermore, an increasing number of states have enacted or proposed restrictions on an individual's right to reproductive freedoms through civil and criminal penalties imposed on individuals who knowingly aid or abet the performance or inducement of the termination of a pregnancy. For example, Missouri has proposed legislation that would allow private citizens to sue anyone who helps a Missouri resident obtain an abortion, including a physician lawfully practicing in another state. Your Committees find that such laws are contrary to the public policy of this State and should not be enforceable in any Hawaii court or be the basis for granting any legal or equitable relief in any Hawaii court. Reproductive health care decisions, including abortion care, are deeply personal choices and individuals in Hawaii should not fear State complicity in criminal prosecution or civil liability under the state laws of other jurisdictions for exercising this right.


Accordingly, your Committees conclude that it is imperative to reiterate and bolster the State's policy to affirm protection of the rights of individuals to obtain reproductive health care, including abortion care, within the State's boundaries. This measure therefore reaffirms the constitutional right to an abortion granted by Roe v. Wade and declares that the laws of other states authorizing civil actions and criminal prosecutions for receiving, seeking, providing, or aiding and abetting the provision of reproductive health care services are contrary to the State's public policy and prohibits the recognition and enforcement of other states' laws that impose civil or criminal liability relating to reproductive health care services.


As affirmed by the records of votes of the members of your Committees on Health & Homelessness and Judiciary & Hawaiian Affairs that are attached to this report, your Committees are in accord with the intent and purpose of S.B. No. 1, S.D. 2, and recommend that it pass Second Reading and be placed on the calendar for Third Reading.



Respectfully submitted on behalf of the members of the Committees on Health & Homelessness and Judiciary & Hawaiian Affairs,