Hawaii would become the seventh U.S. state to legalize physician-assisted suicide for terminally ill patients under legislation passed by the state Senate on Thursday and sent to the governor.

The bill would allow terminally ill individuals to obtain a doctor’s prescription for medication to hasten their death so long as two physicians agree the patient has no more than six months to live and is mentally competent.

The measure also would require a patient seeking life-ending medical aid to undergo a mental health evaluation, to present two separate requests to an attending physician and for two witnesses to attest to the patient’s wish to die.

While a doctor could dispense the medication, patients would be required to take it on their own.

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