Certificate Of Need Review Panel

The Certificate of Need Review Panel evaluates applications from healthcare facilities seeking to add new services, beds, or major capital investments in Hawaii, determining whether the proposed expansion meets demonstrated community need and is consistent with the state health plan. It reviews financial feasibility, community impact, and whether the proposed service duplicates existing capacity in the region. Certificate of need determinations shape the structure and distribution of healthcare services across the state.

Certificate of need decisions affect whether your community gains access to new hospital services, specialized care, or healthcare facilities — or whether those investments are denied as duplicative. Residents can testify at review panel hearings about the healthcare needs of their communities.