Hawaii HB1853: Relating to Dementia.

What the bill says

A bill for an act relating to dementia.

From the enrolled text:

A BILL FOR AN ACT RELATING TO DEMENTIA. SECTION 1. The legislature finds that dementia and cognitive impairment are growing public health concerns in Hawaii, particularly among the State's aging population. The impacts of dementia extend beyond individuals to families, caregivers, and communities, placing emotional and financial strain on households and the health care system. The legislature further finds that access to early diagnosis, care planning, and long-term support for individuals with dementia and cognitive impairment is limited, especially in rural areas and on neighbor islands. Many residents face barriers to receiving timely and coordinated care due to geographic isolation, workforce shortages, and fragmented service delivery. The need for systemic reform for dementia and cognitive impairment treatment cannot be overstated. Alzheimer's disease is estimated to affect one in nine Hawaii residents over age sixty-five. With the older adult population in the State 2026--3496 HB1853 CD1 HMSO H.B. NO. ~ Page2 C.D. expected to double in the next twenty-five years, the number of individuals living with Alzheimer's disease will exceed sixty-two thousand by 2050. This surge will have devastating financial consequences. Medicaid spending for Alzheimer's care in Hawaii rose from $240,000,000 in 2020 to $309,000,000 in 2025. Without intervention, those costs are projected to approach $1,000,000,000 annually by 2050, placing an unsustainable strain on the state budget. The legislature further recognizes …

Read the full official text

Sponsors

• Gregg Takayama (D, 34) · primary sponsor
• Terez Amato (D, 11)
• Della Belatti (D, 26)
• Cory Chun (D, 35)
• Diamond Garcia (R, 42)
• Tina Grandinetti (D, 20)
• Ikaika Hussey (D, 29)
• Greggor Ilagan (D, 4)
• Kim Iwamoto (D, 25)
• Jeanne Kapela (D, 5)
• Susan Keohokapu-Lee Loy (D, 2)
• Darius Kila (D, 44)

Latest actions

1. July 14, 2026: Act 245, on 07/14/2026 (Gov. Msg. No. 1347).
2. July 14, 2026: Act 245, 07/14/2026 (Gov. Msg. No. 1347).
3. May 8, 2026: Received notice of passage on Final Reading in House (Hse. Com. No. 888).
4. May 7, 2026: Transmitted to Governor.
5. May 6, 2026: Received notice of Final Reading (Sen. Com. No. 816).
6. May 6, 2026: Passed Final Reading, as amended (CD 1). Ayes, 25; Aye(s) with reservations: none . 0 No(es): none. 0 Excused: none.
7. May 6, 2026: Passed Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0).
8. May 1, 2026: 48 Hrs. Notice (as amended CD 1) 05-06-26
9. May 1, 2026: Reported from Conference Committee as amended CD 1 (Conf. Com. Rep. No. 155-26).
10. May 1, 2026: Forty-eight (48) hours notice Wednesday, 05-06-26.

Votes

• Passed Final Reading, as amended (CD 1) (May 6, 2026): 25 yea, 0 nay, passed
• Final Reading as amended in CD 1 with none voting aye with reservations; none voting no (0) and none excused (0) (May 6, 2026): 51 yea, 0 nay, passed
• none. (May 1, 2026): 4 yea, 0 nay, passed
• Conference Committee Vote (May 1, 2026): 2 yea, 0 nay, passed
• Report Adopted; Passed Third Reading (April 10, 2026): 25 yea, 0 nay, passed
• WAM: recommend(s) that the measure be PASSED, UNAMENDED (April 7, 2026): 12 yea, 0 nay, passed

Common questions

What is HB1853?

HB1853 is a bill in the Hawaii Legislature (2026 Regular Session): Relating to Dementia.

What does HB1853 do?

In its own words: A bill for an act relating to dementia.

What is the status of HB1853?

Signed into law as of July 14, 2026. Latest action: Act 245, on 07/14/2026 (Gov. Msg. No. 1347). (July 14, 2026).

Who sponsored HB1853?

Gregg Takayama (D, 34), with 11 co-sponsors.

Where is the official record for HB1853?

On the Hawaii Legislature website: https://www.capitol.hawaii.gov/measure_indiv.aspx?billtype=HB&billnumber=1853&year=2026