Bill > HB1394

This bill establishes strict guidelines for the use of restraints and seclusion in hospitals and medical facilities for minors and vulnerable adult patients. The legislation defines restraints as mechanical (devices that restrict movement), chemical (drugs used to control behavior), or physical (personal restrictions that limit movement), and seclusion as confining a patient alone in a room from which they cannot voluntarily leave. Hospitals can only use restraints or seclusion under very specific circumstances: when necessary to prevent injury to the patient or others, as part of a treatment plan, or to preserve the rights of others, and only after less intrusive interventions have failed or been deemed inappropriate. Critically, the bill prohibits any physical restraint that could threaten a patient's life, such as methods that might restrict breathing. The use of restraints or seclusion must be limited to the duration of the immediate danger, and chemical restraints are exempt only when prescribed by a licensed physician for standard medical treatment. This legislation aims to protect vulnerable patients by ensuring that restraints and seclusion are used only as a last resort and with utmost caution.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=1394&year=2025