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Hawai‘i is one of two states where Planned Parenthood offers 'Just in Case Abortion Pills,' allowing patients to obtain abortion medication ahead of pregnancy to have on hand if needed. This service aims to improve access for Hawai‘i residents, especially in rural areas, by enabling patients 18 or older to receive the pills via telehealth or clinic visits, providing a safety net amid changing reproductive health care landscapes.

The Hawaii Senate Health and Homelessness Committee advanced a resolution reaffirming the state's commitment to require hospitals to provide abortion care when necessary to stabilize patients under the Emergency Medical Treatment and Active Labor Act (EMTALA). Hawaiʻi Public Health Institute Policy and Advocacy Associate Kris Coffield supported the resolution, noting it addresses legal confusion and continues Hawaii's legacy of protecting reproductive rights, including laws that protect abortion access and bar out-of-state investigations of abortion providers.

A federal judge in Hawaiʻi ruled that the FDA violated the law by maintaining restrictions on access to mifepristone, an abortion medication, without scientific justification. Hawaiʻi law permits abortion until fetal viability and legalized abortion in 1970, making the ruling particularly relevant to the state's reproductive health policies.