Hawaii authorizes medical aid in dying.
The general eligibility framework
- An adult (18 or older) with the capacity to make their own health care decisions
- Diagnosed with a terminal illness that, in the judgment of the attending physician and a second, independently consulting physician, is expected to result in death within six months
- Able to self-administer the prescribed medication — under every authorizing jurisdiction's law, the choice and the act must be the person's own, not performed by someone else on their behalf
- Required to make more than one request over time (typically both a spoken and a written request), often with a waiting period in between — though the exact number of days, and whether it can be shortened for someone very close to death, varies by state and has changed through recent legislation and litigation in several states
- In most authorizing states, required to be a current resident of that state — Oregon and Vermont are the notable exceptions, having removed their residency requirements after legal challenges
What's specific to Hawaii
Hawaii's Our Care, Our Choice Act was enacted in 2018 and took effect in January 2019. The law has been amended since it passed — including changes to how quickly a request can move forward — so it's a good example of why checking current details directly with the state, rather than relying on an older article, matters. The Hawaii Department of Health administers the law.
For solo agers in particular, this is worth thinking through well before a crisis: the process typically unfolds over days or weeks, not in a single appointment, and usually involves your primary physician, a specialist confirming the diagnosis, and often a hospice or palliative care team. If you don't have a spouse or adult child nearby, make sure whoever holds your health care proxy and anyone on your care team knows your wishes ahead of time — and that your state-specific paperwork, once completed, is stored somewhere they can actually find it.