State Health Planning and Development Agency

The State Health Planning and Development Agency (SHPDA) regulates the development and expansion of healthcare facilities in Hawaii through the Certificate of Need (CON) process, which requires hospitals and certain other providers to obtain state approval before adding beds, services, or major equipment. The agency reviews proposed healthcare developments for necessity, quality, cost, and impact on the broader health system to prevent duplication of services and ensure resources are distributed equitably. SHPDA also collects and publishes data on healthcare facility use and costs.

SHPDA's certificate of need decisions shape what healthcare services are available in your community and whether expensive medical equipment is accessible on your island. The public can participate in CON hearings and review SHPDA data to understand healthcare capacity and costs statewide.