HB1131 • 2026

RELATING TO AN INTENSIVE MOBILE TEAM PILOT PROGRAM FOR HOUSELESS INDIVIDUALS SUFFERING FROM SERIOUS BRAIN DISORDERS.

Budget Healthcare Labor

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor: NAKAMURA (Introduced by request of another party)
Last action: 2026-03-23
Official status: Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM.
Effective date: Not listed

Plain English Breakdown

The official source material does not provide details on specific collaborations or future plans beyond the pilot program's dissolution date.

Intensive Mobile Team Pilot Program for Homeless People with Serious Brain Disorders

This bill establishes a two-year pilot program to provide intensive mobile treatment services, such as street psychiatry, to chronically homeless individuals suffering from serious brain disorders like schizophrenia and schizoaffective disorder.

What This Bill Does

Establishes an Intensive Mobile Team Pilot Program within the Department of Health's adult mental health division.
Provides funding for eight and one-tenth full-time equivalent positions to support the program.
Requires the pilot program to prioritize individuals with schizophrenia or schizoaffective disorder among those who are homeless.
Includes after-hours availability for crisis response, emergency room visits, and meetings with law enforcement.

Who It Names or Affects

Chronically homeless individuals suffering from serious brain disorders like schizophrenia or schizoaffective disorder.
The Department of Health's adult mental health division.
Law enforcement agencies, courts, hospitals, and other service providers.

Terms To Know

Intensive Mobile Team: A team that provides mobile treatment services directly to homeless individuals suffering from serious brain disorders.
Street Psychiatry: A form of psychiatric care provided in the community, often for people who are homeless or have difficulty accessing traditional mental health services.

Limits and Unknowns

The pilot program will be dissolved on June 30, 2028.
Funding is only available through fiscal year 2026-2027.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

HD1

Hawaii published version HD1

Plain English: This amendment establishes a pilot program within the Department of Health to provide intensive mobile team services for chronically homeless individuals with serious brain disorders, such as schizophrenia and schizoaffective disorder.

Establishes an intensive mobile team pilot program in the adult mental health division of the Department of Health.
The pilot program will have specific staffing requirements including a clinical supervisor, psychiatrist, social workers, registered nurse, epidemiologist, and program specialist.
Requires collaboration with various stakeholders such as law enforcement agencies, courts, hospitals, and community providers for implementation.

The amendment text does not specify the exact amount of funding appropriated for fiscal years 2025-2026 and 2026-2027.
The effective date listed as July 1, 3000 appears to be an error or placeholder.

SD1

Hawaii published version SD1

Plain English: Amendment SD1 establishes an intensive mobile team pilot program within the Department of Health to provide specialized mental health services to chronically homeless individuals with serious brain disorders, such as schizophrenia.

Establishes one intensive mobile team in the community mental health center system.
Specifies that the team will manage at least forty participants and prioritize those with schizophrenia or schizoaffective disorder.
Details staffing requirements for the pilot program, including a clinical supervisor, psychiatrist, social workers, registered nurse, epidemiologist, and program specialist.

The amendment text does not specify the exact amount of funding appropriated for fiscal year 2026-2027.
The effective date listed as July 1, 3000 appears to be an error or placeholder and is likely incorrect.

Bill History

2026-03-23 S
Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM.
2026-03-23 S
Reported from HHS (Stand. Com. Rep. No. 3126) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM.
2026-03-16 S
The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 3 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha; Aye(s) with reservations: none ; 0 No(es): none; and 2 Excused: Senator(s) Keohokalole, Fevella.
2026-03-13 S
The committee(s) on HHS has scheduled a public hearing on 03-16-26 1:10PM; Conference Room 225 & Videoconference.
2026-03-10 S
Referred to HHS, WAM.
2026-03-06 S
Passed First Reading.
2026-03-06 S
Received from House (Hse. Com. No. 11).
2026-03-05 H
Passed Third Reading with none voting aye with reservations; none voting no (0) and Representative(s) Perruso excused (1). Transmitted to Senate.
2026-03-05 H
Reported from FIN (Stand. Com. Rep. No. 827-26), recommending passage on Third Reading.
2026-02-26 H
The committee on FIN recommend that the measure be PASSED, UNAMENDED. The votes were as follows: 16 Ayes: Representative(s) Todd, Takenouchi, Hartsfield, Hussey, Keohokapu-Lee Loy, Kitagawa, Kusch, Lee, M., Miyake, Morikawa, Perruso, Templo, Yamashita, Alcos, Gedeon, Reyes Oda; Ayes with reservations: none; Noes: none; and Excused: none.
2026-02-24 H
Bill scheduled to be heard by FIN on Thursday, 02-26-26 2:00PM in House conference room 308 VIA VIDEOCONFERENCE.
2025-12-08 D
Carried over to 2026 Regular Session.
2025-02-05 H
Passed Second Reading as amended in HD 1 and referred to the committee(s) on FIN with none voting aye with reservations; none voting no (0) and Representative(s) Cochran, Ward excused (2).
2025-02-05 H
Reported from HSH/HLT (Stand. Com. Rep. No. 155) as amended in HD 1, recommending passage on Second Reading and referral to FIN.
2025-01-30 H
The committee on HLT recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Takayama, Keohokapu-Lee Loy, Amato, Chun, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.
2025-01-30 H
The committee on HSH recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 9 Ayes: Representative(s) Marten, Olds, Amato, Chun, Keohokapu-Lee Loy, Takayama, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none.
2025-01-27 H
Bill scheduled to be heard by HSH/HLT on Thursday, 01-30-25 9:30AM in House conference room 329 VIA VIDEOCONFERENCE.
2025-01-23 H
Referred to HSH/HLT, FIN, referral sheet 3
2025-01-23 H
Introduced and Pass First Reading.
2025-01-21 H
Pending introduction.

Official Summary Text

RELATING TO AN INTENSIVE MOBILE TEAM PILOT PROGRAM FOR HOUSELESS INDIVIDUALS SUFFERING FROM SERIOUS BRAIN DISORDERS.
DOH; Intensive Mobile Team Pilot Program; Houseless Individuals; Appropriation ($)
Establishes and appropriates funds for a 2-year Intensive Mobile Team Pilot Program in the Department of Health to provide intensive mobile treatment-type services to chronically houseless individuals suffering from serious brain disorders, including schizophrenia and schizoaffective disorder. Effective 7/1/3000. (SD1)

Current Bill Text

Read the full stored bill text

HB1131

HOUSE OF REPRESENTATIVES

H.B. NO.

1131

THIRTY-THIRD LEGISLATURE, 2025

STATE OF HAWAII

A BILL FOR AN ACT

RELATING TO AN INTENSIVE MOBILE TEAM PILOT PROGRAM FOR HOUSELESS
INDIVIDUALS SUFFERING FROM SERIOUS BRAIN DISORDERS.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

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SECTION 1.
�
(a)
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There is established an intensive mobile team
pilot program within the adult mental health division of the department of
health to provide intensive mobile team services, e.g.,
"
street
psychiatry,
"
to chronically
houseless people suffering from serious brain disorders, including but not
limited to schizophrenia and schizoaffective disorder.

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(b)
�
The
pilot program shall establish one intensive mobile team in the community mental
health center system.

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(c)
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The
intensive mobile team established for the purposes of the pilot program shall:

����
(1)
�
Establish
criteria for pilot program participation, which shall include being houseless
and suffering from a serious brain disorder, prioritizing individuals with
schizophrenia or schizoaffective disorder;

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(2)
�
Manage
no more than forty participants who shall be vetted and enrolled by the intensive
mobile team;

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(3)
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Offer
after-hours availability for existing participants to:

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(A)
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Respond
to crisis;

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(B)
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Visit
emergency rooms; and

���������
(C)
�
If
and when they are arrested, meet with law enforcement and participants at the
receiving desk or similar place where the participant is being held in custody
to share information on their participation in the pilot program;

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(4)
�
Determine,
in collaboration with area hospitals and the behavioral health crisis center,
appropriate hospitalizations and behavioral health crisis center admissions;

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(5)
�
Prioritize
housing placements for participants;

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(6)
�
Begin
participant treatment on psychiatric medications when appropriate;

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(7)
�
Actively
pursue assisted community treatment orders when appropriate;

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(8)
�
Continue
services if a participant is admitted to the Hawaii state hospital;

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(9)
�
Engage
social work interns and advanced practice registered nurse students to expand
service capacity for the target population;

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(10)
�
Bill
third-party payors, medicare, or medicaid, as appropriate for services; and

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(11)
�
Be
staffed as follows:

���������
(A)
�
1.0
FTE human services professional V who shall serve as the clinical supervisor;

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����
(B)
�
0.5 FTE psychiatrist;

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(C)
�
5.0
FTE human services professionals or social workers;

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����
(D)
�
0.5 FTE registered nurse;

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����
(E)
�
0.1 FTE epidemiologist, epidemiology
specialist, or research statistician; and

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����
(F)
�
1.0 FTE program specialist.

����
(d)
�
The
department of health shall collaborate with law enforcement agencies, courts,
hospitals, providers who serve houseless individuals, mental health providers,
and community stakeholders for the implementation of the pilot program.

����
(e)
�
The
adult mental health division of the department of health shall submit a report
on the intensive mobile team pilot program to the legislature no later than
twenty days prior to the convening of the regular sessions of 2026 and 2027.
�
Each report shall include any proposed
legislation and progress updates on the aggregate:

����
(1)
�
Number
of participant arrests;

����
(2)
�
Number
of participants requiring an emergency examination and hospitalization;

����
(3)
�
Number
of participants placed into housing;

����
(4)
�
Number
of participants started on medications;

����
(5)
�
Number
of participants hospitalized at the Hawaii state hospital;

����
(6)
�
Number
of participants reconnected with family; and

����
(7)
�
Number
of assisted community treatment orders pursued and granted.

����
(f)
�
The
intensive mobile team pilot program shall be dissolved on June 30, 2028.

����
SECTION 2.
�
There is appropriated out of the general
revenues of the State of Hawaii the sum of $1,300,000 or so much thereof as may
be necessary for fiscal year 2025-2026 and the sum of $1,300,000 or so much
thereof as may be necessary for fiscal year 2026-2027 for eight and one-tenth
full-time equivalent (8.1 FTE) positions, who shall be exempt from chapter 76,
Hawaii Revised Statutes, operating costs, and equipment, pursuant to this Act.

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The sums appropriated shall be expended by
the department of health for the purposes of this Act.

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SECTION 3. This Act, upon its approval,
shall take effect on July 1, 2025.

INTRODUCED BY:

_____________________________

BY REQUEST

Report Title:

DOH; Intensive Mobile Team Pilot Program; Appropriation

Description:

Establish a pilot program in the Department of Health to
provide intensive mobile treatment-type services, e.g.,
"
street psychiatry,
"
to chronically houseless people suffering from
serious brain disorders like schizophrenia and schizoaffective disorder.

The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.