Hawaii § 323D-43 - Certificates of need.

Full text of Hawaii Hawaii Revised Statutes § 323D-43 — Certificates of need., with citation guidance and answers to common questions.

§ 323D-43. Certificates of need.

(a) No person, public or private, nonprofit or for profit, shall: (1) Construct, expand, alter, convert, develop, initiate, or modify a health care facility or health care services in the State that requires a total capital expenditure in excess of the expenditure minimum; or (2) Substantially modify or increase the scope or type of health service rendered; or (3) Increase, decrease, or change the class of usage of the bed complement of a health care facility, or relocate beds from one physical facility or site to another, unless a certificate of need therefor has first been issued by the state agency. (b) No certificate of need shall be issued unless the state agency has determined that: (1) There is a public need for the facility or the service; and (2) The cost of the facility or service will not be unreasonable in the light of the benefits it will provide and its impact on health care costs. (c) The state agency may adopt criteria for certificate of need review which are consistent with this section. Such criteria may include but are not limited to need, cost, quality, accessibility, availability, and acceptability. Each decision of the state agency to issue a certificate of need shall, except in an emergency situation that poses a threat to public health, be consistent with the state health services and facilities plan in effect under section 323D-15. Each certificate of need issued shall be valid for a period of one year from the date of issuance unless the period is extended for good cause by the state agency and expenditures for the project shall not exceed the maximum amount of the expenditures approved in the certificate of need. [L 1975, c 159, pt of §2; am L 1977, c 178, pt of §2; am L 1980, c 75, §12; am L 1982, c 245, §5; am L 1984, c 267, §9; am L 1987, c 270, §11; am L 1997, c 336, §8] Previous Vol06_Ch0321-0344 Next

Source: official Hawaii text · Last verified 2026-08-27

Frequently Asked Questions About Hawaii § 323D-43

What does Hawaii Revised Statutes § 323D-43 cover?

Section 323D-43 ("Certificates of need.") is part of the Hawaii Revised Statutes, the codified statutory law of Hawaii. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Hawaii § 323D-43?

A common citation format is "Hawaii Revised Statutes § 323D-43" (Hawaii). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Hawaii law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Hawaii official source linked on this page or consult a licensed Hawaii attorney.

How does Hawaii § 323D-43 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Hawaii can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in Hawaii.