HI HB11

Repeals Hawaii's certificate of need (CON) requirement for most health care facilities and services, which currently requires state approval for construction, expansion, or major capital expenditures by health care providers

Maintains CON requirements only for nursing homes, hospices, intermediate care facilities for individuals with intellectual disabilities, and ambulance service providers

Hawaii's CON law was established in 1975 in response to federal requirements that were repealed in 1987; since then, 15 states and Washington D.C. have eliminated their CON programs

Cites research from the Mercatus Center indicating hospital charges were 5.5% lower in states without CON laws after five years

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