summary
Introduced
01/23/2025
01/23/2025
In Committee
01/23/2025
01/23/2025
Crossed Over
Passed
Dead
Introduced Session
2025 Regular Session
Bill Summary
Authorizes physicians to practice at organized ambulatory health care facilities even if the physician does not have hospital privileges at a licensed hospital in the same geographic location as the ambulatory facility. Provides that a written transfer agreement is not required to transfer a patient from an organized ambulatory health care facility to a licensed hospital.
AI Summary
This bill aims to address healthcare provider shortages in Hawaii, particularly in rural and neighbor island areas, by reducing administrative barriers for organized ambulatory health care facilities. Specifically, the bill allows physicians to practice at these facilities without requiring hospital privileges in the same geographical location and eliminates the need for written transfer agreements when transferring patients to a licensed hospital. The legislation is motivated by the ongoing challenges in healthcare access, which were further exacerbated by the 2023 Maui wildfires that damaged medical practices and facilities. An organized ambulatory health care facility, as defined in existing law, is typically a medical facility that provides outpatient services. By removing these administrative requirements, the bill seeks to make it easier for healthcare providers to serve medically underserved communities, particularly on neighbor islands like Maui, where physician shortages are acute and residents often must travel to receive specialized care. The bill will take effect upon approval and does not impact any rights, duties, penalties, or proceedings that existed prior to its enactment.
Committee Categories
Health and Social Services
Sponsors (11)
Kirstin Kahaloa (D)*,
Jeanné Kapela (D)*,
Susan Keohokapu-Lee Loy (D)*,
Matthias Kusch (D)*,
Nicole Lowen (D)*,
Lisa Marten (D)*,
Tyson Miyake (D)*,
Mahina Poepoe (D)*,
Gregg Takayama (D)*,
Jenna Takenouchi (D)*,
David Tarnas (D)*,
Last Action
Carried over to 2026 Regular Session. (on 12/08/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=817&year=2026 |
| State Bill Page | https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=817&year=2025 |
| BillText | https://www.capitol.hawaii.gov/sessions/session2026/bills/HB817_.HTM |
| BillText | https://www.capitol.hawaii.gov/sessions/session2025/bills/HB817_.HTM |
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