HI SB1129

Establishes a Medical Aid in Dying Act allowing terminally ill adults with a confirmed prognosis of six months or less to request and self-administer prescribed medication to end their life in a humane manner.

Requires two physician confirmations of terminal diagnosis, multiple oral and written requests by the patient with at least 15 days between initial and subsequent requests, and a 48-hour waiting period after written request.

Mandates attending providers inform patients of diagnosis, prognosis, medication risks, probable results, and alternatives including comfort care, hospice care, and pain control before prescription.

Provides civil and criminal immunity to healthcare providers and facilities acting in good faith compliance, while prohibiting coercion or undue influence on patients (Class A felony) and forging or destroying patient requests (Class A felony).

Amends existing Hawaii law to exempt medical aid in dying actions from prohibitions on assisted suicide, euthanasia, mercy killing, and murder/manslaughter charges; requires annual reporting by Department of Health on implementation.