Hawaii certificate of need
Hawaii has a certificate of need program, run by Hawaii State Health Planning and Development Agency (SHPDA). It covers 10 kinds of services, listed below.
- CON program
- Yes
- Services covered
- 10
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Hawaii CON program
Hawaii has a certificate of need program, run by Hawaii State Health Planning and Development Agency (SHPDA). It covers 10 kinds of services, listed below.
- CON program
- Yes
- Program
- Certificate of Need
- Application fee
- Nonrefundable filing fee: $200 plus 0.001 of total capital cost up to $1,000,000 plus 0.0005 of cost above $1,000,000; paid in full at filing (HAR §11-186-25).
- Review timeline
- SHPDA decides completeness within 30 days of filing; an incomplete applicant has 60 days to cure. Review should not exceed 90 days from notification to decision, extendable by up to 60 days. Standard reviews go through advisory councils/panel before SHPDA's decision; some projects qualify for administrative review.
- Recent changes
- SB 1423 (2025, Governor's package) proposed exempting Department of Health-operated facilities, chronic renal dialysis centers and psychiatric behavioral health services from CON (HRS §323D-54); enactment was not confirmed from an official source.
- Statute
- HRS chapter 323D (§323D-43 et seq.); HAR Title 11, chapter 186
Services that need a certificate of need
- hospitals
- extended care and rehabilitation centers
- nursing homes / skilled nursing facilities
- intermediate care facilities
- hospices requiring state licensure or certification
- kidney disease treatment centers / freestanding hemodialysis
- outpatient clinics and organized ambulatory health care facilities
- emergency care facilities
- home health agencies
- health maintenance organizations
Frequently asked questions
Does Hawaii have a certificate of need law?
Hawaii has a certificate of need program, run by Hawaii State Health Planning and Development Agency (SHPDA). It covers 10 kinds of services, listed below.
How long does a Hawaii CON review take?
SHPDA decides completeness within 30 days of filing; an incomplete applicant has 60 days to cure. Review should not exceed 90 days from notification to decision, extendable by up to 60 days. Standard reviews go through advisory councils/panel before SHPDA's decision; some projects qualify for administrative review.
How much is a Hawaii CON application?
Nonrefundable filing fee: $200 plus 0.001 of total capital cost up to $1,000,000 plus 0.0005 of cost above $1,000,000; paid in full at filing (HAR §11-186-25).