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HRS §323D-45

How certificate of need applications are reviewed and recommended

This section explains the review process for certificate of need applications. The state agency sends each application to local councils and a review panel. These groups hold public meetings, gather information, and make recommendations to the state agency. People can speak, bring evidence, and question witnesses at these meetings.

courtsstate agencies

The statute, as written — Subarea council, review panel, and statewide council recommendations for issuance or denial of certificates of need

(a) Except for an administrative review as provided in section 323D-44.5, or in an emergency situation or other unusual circumstances as provided in section 323D-44(c), the state agency shall refer every application for a certificate of need to the appropriate subarea council or councils, the review panel, and the statewide council. The subarea council and the review panel shall consider all relevant data and information submitted by the state agency, subarea councils, other areawide or local bodies, and the applicant, and may request from them additional data and information. The review panel shall consider each application at a public meeting and shall submit its recommendations with findings to the statewide council. The statewide council shall consider the recommendation of the review panel at a public meeting and shall submit its recommendations to the state agency within such time as the state agency prescribes. The statewide council and the review panel may join together to hear or consider simultaneously information related to an application for a certificate of need. (b) At a public meeting in which a subarea council or the review panel considers an application for a certificate of need, any person shall have the right to be represented by counsel and to present oral or written arguments and evidence relevant to the application; any person directly affected by the application may conduct reasonable questioning of persons who make factual allegations relevant to the application; any staff member of the state agency may conduct reasonable questioning of persons who make factual allegations relevant to the application; and a record of the meeting shall be kept.
Read the official text at capitol.hawaii.gov ↗as published Jan 6, 2026our copy taken Aug 20, 2026

Sections this one refers to

§323D-44 How to apply for a certificate of need

§323D-44.5 How the state reviews certain health care applications

LawTrove is not legal advice. The summary above is a computer-generated restatement — the authoritative text is the official version linked above.