HI HB11

Repeals Hawaii's certificate of need (CON) requirement for most health care facilities and services, effective upon approval, while maintaining CON requirements for nursing homes, hospices, intermediate care facilities for individuals with intellectual disabilities, and ambulance service providers.

Redefines "health care facility" and "health care service" in Hawaii Revised Statutes Chapter 323D to limit coverage to only the four facility types listed above, removing requirements for hospitals, outpatient clinics, surgery centers, and most other health care providers.

Requires the state health planning and development agency to propose amendments to the state health services and facilities plan by January 1, 2026, to conform with the changes made by this Act and to make the proposed plan available in accordance with administrative rulemaking procedures.

Updates cross-references throughout Hawaii Revised Statutes to shift definitions of "health care facility" and "health care provider" from Section 323D-2 to Section 325-20(b) for statutes unrelated to the certificate of need program.

Cites concerns that CON programs restrict competition, stifle innovation, limit consumer choice, and fail to control health care costs, noting that 15 states and the District of Columbia have eliminated their CON programs since the federal mandate was repealed in 1987.