In 2018, the Hawaii legislature passed a death with dignity bill called the Our Care, Our Choice Act. Governor David Ige signed the bill into law April 5, 2018 and it took effect on January 1, 2019. Our Care, Our Choice allows terminally ill patients to request aid in dying in certain clearly defined situations.
In 2020, the latest year for which statistics are available, 37 people received prescriptions under the act and 25 used them to die. (For additional statistics, see the 2020 Our Care, Our Choice Annual Report published by the Hawaii Department of Health.)
This article first clarifies some confusing language related to death with dignity laws and then sets out the basics of Hawaii's law.
"Death with dignity" is one of the most commonly accepted phrases describing the process by which a terminally ill person ingests prescribed medication to hasten death. Many people still think of this process as "assisted suicide" or "physician assisted suicide." However, proponents of death with dignity argue that the term "suicide" doesn't apply to terminally ill people who would prefer to live but, facing certain death within months, choose a more gentle way of dying. In fact, Hawaii's law states that terminating one's life under the law is not suicide. (See Haw. Rev. Stat. § 327L-18 (2022).)
Increasingly, health organizations are turning away from the term "suicide" to describe a terminally ill patient's choice to reduce the suffering of an inevitable death. The phrase "aid in dying" is becoming a more accepted way to refer to this process.
You may also see the phrase "right to die" used in place of "death with dignity." However, "right to die" is more accurately used in the context of directing one's own medical care -- that is, refusing life-sustaining treatment such as a respirator or feeding tubes when permanently unconscious or close to death. You can provide your own health care directions by completing a Hawaii advance health care directive. (See the end of this article for more information.)
To request a prescription for life-ending medication in Hawaii, a patient must be:
A patient who meets the requirements above will be prescribed aid-in-dying medication only if:
To use the medication, the patient must be able to ingest it on their own. A doctor or other person who administers the lethal medication may face criminal charges.
The Hawaii Department of Health posts information, forms, and updates here: https://health.hawaii.gov/opppd/ococ/.
You can read the full text of Hawaii's Our Care, Our Choice Act on the Hawaii legislature's website.
To find out more about the history and current status of death with dignity laws in the United States, visit the website of the Death With Dignity National Center.
For information about appointing a health care agent and making known your own wishes for medical care at the end of life, see the Living Wills & Medical Powers of Attorney section of Nolo.com.
Updated January 31, 2022