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SB 2289

RELATING TO CERTIFICATES OF NEED.

2026 Regular Session Introduced by Stanley Chang and 5 co-sponsors

SB 2289 modifies Hawaii's Certificate of Need healthcare approval program, potentially affecting how new medical facilities and services can be established across the islands.

The committee(s) on HHS has scheduled a public hearing on 02-06-26 1:00PM; Conference Room 225 & Videoconference.
#certificatesofneed #exemptions
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Bill Summary · SB 2289

Legislative bill overview

SB 2289 addresses Hawaii's Certificate of Need (CON) program, which requires healthcare providers to obtain state approval before making major capital expenditures or service expansions. The bill modifies existing CON requirements, though the specific amendments are not detailed in the legislative record provided. This is a healthcare regulatory measure currently in early stages of the legislative process.

Why is this important

Certificates of Need significantly impact healthcare access, cost, and competition in Hawaii. Changes to CON rules can either increase barriers to new healthcare facilities and services (protecting existing providers) or reduce them (potentially expanding access). Given Hawaii's geographic isolation and existing healthcare workforce challenges, CON policy directly affects whether patients can access new treatments, facilities, and providers in the islands.

Potential points of contention

  • Market competition vs. cost control: Relaxing CON requirements could increase competition but risk duplicative services and higher costs; strengthening them protects existing providers but may limit innovation and access
  • Healthcare access in rural areas: Policy changes could either encourage or discourage investment in underserved Hawaiian communities depending on the specific modifications
  • Provider stakeholder interests: Existing hospitals and healthcare systems may oppose changes expanding competition, while new providers and patient advocates may support deregulation

Compiled from official sources — confirm details with the bill’s official record.

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