Mind at Work:
Mental Health in the Asia Pacific Workplace
HAWAII

Regulations and Policy Requirements
Is there a specific regulation in your jurisdiction that regulates mental health in workplace? Are employers required to have policies regarding mental health, i.e. to promote mental health awareness and protection?
Yes, Hawaii's Employment Practices Law prohibits discrimination against the disabled (which includes people with emotional and/or mental impairments), requires employers to provide accommodations, and entitles disabled emloyees to equal benefits. In addition, Hawaii's Prepaid Health Care Act requires Hawaii employers to provide coverage for mental health treatment.
Leave Entitlements
Are employees with diagnosed mental health conditions entitled to paid or unpaid leave? If so, under what laws/policies and conditions?
Both. Employees requiring a leave of absence due to mental health impairments may take an unpaid leave of absence if their treating physician confirms the disability and provides a return to work date. Under Hawaii's Temporary Disability Insurance Law, an eligible employee may also receive a partial wage replacement (up to 58% of their pay) beginning on the eighth day of disability and continuing up to a maximum of 26 weeks. The unpaid leave of absence is available to employees as soon as they begin employment. The temporary disability insurance benefit is available to employees who have worked at least 14 weeks, at 20 or more hours per work week.
Employer Management of Suspected Conditions
May an employer require an employee with suspected mental health issues to leave the workplace or take time off? What level of evidence is required?
Employers are not permitted to act based solely on suspicion or assumptions. But if the employee fails to perform his/her essential job functions, or the employee is unable to work safely, the employer can initiate discipline to correct the deficiencies. However, if the employee responds by claiming he/she suffers from mental health impairments, the employer must initiate the "interactive reasonable accommodation process" under federal and state law to determine if the employee's condition can be accommodated to enable him/her to perform the essential job functions.
Medical Examination / Fitness for Work
Can an employer require an employee suspected of having mental health issues to undergo a medical examination or seek medical attention? Are there limits or procedural safeguards?
Except for very specific safety-sensitive industries, employers may not require employees to undergo a medical examination or seek medical attention because the employer suspects a mental health issue. See response to No. 3 above. If the employee asks for accommodations, then the employer can request the employee undergo a medical examination. However, the physician conducting the examination must be provided with the employee's job descritpion, as well as a copy of the federal and state regulations governing the examination.
Medical Costs / Insurance
Are treatment costs for mental health conditions covered by statutory medical insurance or employer-provided benefits?
Treatment costs are covered by Hawaii's Prepaid Health Care Act. The monthly premiums are paid by the employer. Employees who work 20 or more hours per week for four or more consecutive weeks are entitled to this coverage.
Occupational Disease / Work-related Illness
Can mental health conditions be classified as occupational illnesses and be covered under occupational injury insurance? What criteria must be met?
Employees who suffer work-related mental injuries or illnesses (such as mental stress) may apply for occupational injury insurance under Hawaii's Workers' Compensation Law. All employees are eligible for coverage immediately upon hire. Applications for coverage are presumed to be legitimate claims and the burden is on the employer contesting the claim to prove otherwise.
Disability Protections
Can employees obtain disability benefits or protections due to mental health conditions? Does the law recognize mental illness as a disability?
Yes. See responses to Nos. 1-4 above.
Termination
Can an employer terminate an employee with a mental health condition: (i) when the employee is unable to return to work; or (ii) for other business reasons unrelated to the condition? What legal risks (e.g., unfair dismissal, discrimination) arise?
Employers are prohibited from terminating employees simply because they have a mental health condition. Employers may only terminate employees with mental health conditions if: (1) the employee is unable to perform the essential functions of his/her job even with reasonable accommodations; (2) the employee refuses accommodations; (3) the employee poses a direct threat of harm to himself or others; (4) the employee violates a work rule; or (5) the employee is not otherwise qualified to perform the job . Failure to comply with these restrictions can result in a "disability discrimination" claim under federal and state law.
Confidentiality and Data Protection
What are the employer’s obligations regarding confidentiality, collection, use and storage of employee mental health information and medical records?
Federal and state law requires the employer to keep all employee health information, including any disability accommodations provided to the employee, confidential. All health records, benefit information, and leave of absence information must be kept in locked files with access limited to human resource professionals or management with a "need to know."
Reasonable Accommodation
Is the employer required to provide reasonable accommodation to employees with mental health conditions? Examples: flexible hours, reduced workload, remote work
Yes. There are extensive federal and state regulations providing examples of reasonable accommodations. But "reasonable accommodation" is essentially a process of negotiation between the emloyer, the employee, and the employee's physician.
Anti-Discrimination
Are mental health conditions protected under anti-discrimination laws? What conduct constitutes discrimination?
Yes, it is protected by federal and state laws which prohibits: (1) disparate treatment based on the indiviual's disability; (2) refusal or failure to provide reasonable accommodation; (3) harassment based on the disabiltiy; (4) retaliation against an individual seeking accommodation or filing a claim due to discrimination and/or harassment based on disaiblity; and (5) disclosure of the employee's medical information.
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