Hawaii

Hawaii

State Facts

123

Deaths, or 35.7% of all overdose deaths in the year ending April 2025 involved opioids.¹

126,193

Claims, or 2.9% of all Medicare Part D claims were for opioids in 2023 – an average of 25 per prescriber

22.6

Opioid Prescriptions were written for every 100 persons in Hawaii in 2023.3

$6.6 Billion

the estimated total societal cost of opioid use disorder (OUD) in Hawaii in 2024.⁴

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Opioid Settlement Funds

$141,223,245.11
State Spending Recommendation

National approved use: providing support for non-opioid pain treatment alternatives, including training providers to offer or refer to multi-modal, evidence-informed treatment of pain.

Member & Endorser Footprint

Voices is backed by a broad coalition of organizations across the state united by a shared goal: ensuring patients have access to safe, effective, 
and individualized pain management throughout the continuum of care.

Co-Sponsors (119th)

Rep. Jill Tokuda (D-HI-2)

Rep. Jill Tokuda (D-HI-2)


1. Centers for Disease Control and Prevention (2025). Provisional Drug Overdose Death Counts. https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

2. Centers for Disease Control and Prevention (2025). Medicare Part D Opioid Prescribing Mapping Tool. https://cms-oeda.maps.arcgis.com/apps/MapSeries/index.html?appid=5390718d875d4c049b1ac5976a9ff083

3. Centers for Disease Control and Prevention (2025). Opioid Dispensing Rate Maps. https://www.cdc.gov/overdose-prevention/data-research/facts-stats/opioid-dispensing-rate-maps.html

4. Avalere Health (2025). The cost of addiction: Opioid use disorder in the United States. https://advisory.avalerehealth.com/wp-content/uploads/2025/05/Avalere-Health-White-Paper_The-cost-of-opioid-addiction_OUD-in-the-United-States.pdf