S.B. 442 Summary

• Authorizes advanced practice registered nurses (APRNs), in addition to physicians, to serve as attending providers and consulting providers for medical aid in dying under Hawaii's "Our Care, Our Choice Act."

• Expands counseling eligibility to include psychiatric mental health nurse practitioners, alongside existing psychiatrists, psychologists, and clinical social workers.

• Reduces the mandatory waiting period between initial and second oral requests from twenty days to five days.

• Allows waiver of the five-day waiting period for terminally ill patients expected to die within five days of their initial request, with safeguards against coercion or undue influence.

• Effective date: December 31, 2050.