Bill > SB708

This bill addresses the critical shortage of mental health professionals in Hawaii by authorizing clinical psychologists to obtain prescriptive authority for psychotropic medications under specific conditions. Beginning July 1, 2026, the Board of Psychology will accept applications from clinical psychologists who have completed extensive specialized training, including 800 hours of clinical prescribing practicum, supervision of at least 100 patients, physical assessment training, community service work, and who have passed a national psychopharmacology examination. Prescribing psychologists will be required to collaborate with a patient's primary care provider, can only prescribe medications for mental health disorders, and are prohibited from prescribing certain controlled substances like Schedule I, II, and III drugs, opiates, and narcotics (with exceptions for ADHD stimulants and buprenorphine). The bill aims to improve mental health care access, particularly in areas with significant psychiatrist shortages, by allowing specially trained psychologists to prescribe certain psychotropic medications. The Board of Psychology will develop rules and procedures for granting and maintaining prescriptive authority, including continuing education requirements, and will be required to submit a report to the legislature before the 2026 legislative session. Funding will be appropriated to support the implementation of this new prescriptive authority program.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=708&year=2025