State Health Planning and Development Agency Amendment
Summary
Hawaii HB2319 amends Chapter 323D HRS to modify the functions and responsibilities of the State Health Planning and Development Agency. The bill adds a definition of "health care," increases the bed change exemption threshold to 30% of existing licensed bed types, and exempts the Department of Health from certificate of need requirements.
What changed
Hawaii HB2319 modifies the State Health Planning and Development Agency by amending Chapter 323D, Hawaii Revised Statutes. Key changes include adding a new statutory definition of "health care," raising the exemption threshold for bed changes from unspecified amounts to up to 30% of existing licensed bed types, and creating a blanket exemption for the Department of Health from certificate of need requirements.
Healthcare facilities and providers should review their certificate of need obligations under the amended statute. The effective date is January 30, 2050, providing extended transition time for compliance planning. Facilities planning bed changes or new construction should assess whether they fall below the new 30% exemption threshold.
What to do next
- Review certificate of need requirements under amended Chapter 323D HRS
- Assess whether planned bed changes fall below the 30% exemption threshold
- Verify applicability of new health care definition to facility operations
Source document (simplified)
ChangeBridge / Hawaii / HB2319 Passed HB2319 House Bill Passed 2026-03-10
Relating To The State Health Planning And Development Agency.
Amends the functions and responsibilities of the State Health Planning and Development Agency. Adds a new definition of "health care" for chapter 323D, HRS. Amends the exemption threshold for bed changes to up to thirty per cent of existing licensed bed types. Exempts the Department of Health from certificate of need requirements. Effective 1/30/2050. (SD1)
Bill Details
State Hawaii
Session 2026 Regular Session
Chamber House
Official Source www.capitol.hawaii.gov/session/measure_ind...
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Sponsors
Nadine Nakamura (Rep - D)
Action History
2026-04-06 S The committee(s) on WAM recommend(s) that the measure be PASSED, UNAMENDED. The votes in WAM were as follows: 12 Aye(s): Senator(s) Dela Cruz, Moriwaki, DeCoite, Elefante, Hashimoto, Inouye, Kanuha, Kidani, Kim, Richards, Wakai, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 1 Excused: Senator(s) Lee, C.. 2026-04-01 S The committee(s) on WAM will hold a public decision making on 04-06-26 10:32AM; Conference Room 211 & Videoconference. 2026-03-25 S Report adopted; Passed Second Reading, as amended (SD 1) and referred to WAM. 2026-03-25 S Reported from HHS (Stand. Com. Rep. No. 3177) with recommendation of passage on Second Reading, as amended (SD 1) and referral to WAM. 2026-03-18 S The committee(s) on HHS recommend(s) that the measure be PASSED, WITH AMENDMENTS. The votes in HHS were as follows: 5 Aye(s): Senator(s) San Buenaventura, McKelvey, Kanuha, Keohokalole, Fevella; Aye(s) with reservations: none ; 0 No(es): none; and 0 Excused: none. 2026-03-13 S The committee(s) on HHS has scheduled a public hearing on 03-18-26 1:00PM; CR 225 & Videoconference. 2026-03-12 S Referred to HHS, WAM. 2026-03-12 S Passed First Reading. 2026-03-12 S Received from House (Hse. Com. No. 396). 2026-03-10 H Passed Third Reading as amended in HD 2 with none voting aye with reservations; none voting no (0) and Representative(s) Kong, Pierick excused (2). Transmitted to Senate. 2026-03-06 H Forty-eight (48) hours notice Tuesday, 03-10-26. 2026-03-06 H Reported from CPC (Stand. Com. Rep. No. 1065-26) as amended in HD 2, recommending passage on Third Reading. 2026-03-03 H The committee on CPC recommend that the measure be PASSED, WITH AMENDMENTS. The votes were as follows: 10 Ayes: Representative(s) Matayoshi, Grandinetti, Chun, Ilagan, Ichiyama, Iwamoto, Kong, Lowen, Marten, Tam; Ayes with reservations: none; 0 Noes: none; and 1 Excused: Representative(s) Pierick. 2026-02-27 H Bill scheduled to be heard by CPC on Tuesday, 03-03-26 2:00PM in House conference room 329 VIA VIDEOCONFERENCE. 2026-02-18 H Passed Second Reading as amended in HD 1 and referred to the committee(s) on CPC with none voting aye with reservations; none voting no (0) and none excused (0). 2026-02-18 H Reported from HLT (Stand. Com. Rep. No. 363-26) as amended in HD 1, recommending passage on Second Reading and referral to CPC. 2026-02-13 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, Hartsfield, Marten, Olds, Takenouchi, Alcos, Garcia; Ayes with reservations: none; Noes: none; and Excused: none. 2026-02-10 H Bill scheduled to be heard by HLT on Friday, 02-13-26 9:00AM in House conference room 329 VIA VIDEOCONFERENCE. 2026-02-02 H Referred to HLT, CPC, referral sheet 6 2026-01-28 H Introduced and Pass First Reading. 2026-01-26 H Pending introduction.
Votes
2026-03-18 Senate Health and Human Services: Passed, With Amendments Yea: 5 Nay: 0 2026-04-06 Senate Ways and Means: Passed, Unamended Yea: 12 Nay: 0
Committee Referrals
2026-02-02 H Health 2026-02-18 H Consumer Protection & Commerce 2026-03-12 S Health and Human Services 2026-03-25 S Ways and Means
Bill Text Versions
2026-01-29 Introduced 2026-02-17 Amended 2026-03-06 Amended 2026-03-24 Amended
Subjects
DOH SHPDA Function and Responsibilities Certificate of Need Exemption Legislative data powered by LegiScan (CC BY 4.0)
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