HB 1538: Hospital Licensing; Department of Health; Centers for Medicare and Medicaid Services; Accreditation Organizations; Certification Organizations; Licensing Inspections
- Session Year: 2025-2026
- House: House
- Latest Version Date: 2026-01-14
Current Status:
Failed
(2026-01-26: Referred to HLT, CPC, referral sheet 1)
Introduced
In Committee
First Chamber
In Committee
Second Chamber
Final Decking
Enacted
What does this bill do?
The bill lets hospitals use accreditation or certification from any organization recognized by the federal Centers for Medicare and Medicaid Services to satisfy Hawaii's required hospital licensing inspections, instead of limiting that option to The Joint Commission. The Department of Health must adopt rules for this change and may still inspect hospitals for complaints, problems reported by an accrediting group, or for periodic checks.
The summary is provided by generative AI which can make mistakes. For original language, please view the details in the table below.
Requires the Department of Health to adopt rules to allow hospitals to demonstrate compliance with all licensing inspections required by the State through accreditation or certification by any accreditation or certification organization recognized by the Centers for Medicare and Medicaid Services.
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
1538 |
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THIRTY-THIRD LEGISLATURE, 2026 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
relating to hospital licensing.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that The Joint Commission is the most widely used accreditation organization for hospitals in the United States. The legislature further finds that other accreditation organizations have been recognized by the Centers for Medicare and Medicaid Services and also provide accreditation to hospitals. These organizations include the Accreditation Commission for Health Care, Center for Improvement in Healthcare Quality, and DNV GL Healthcare. Currently, The Joint Commission is the only accreditation organization authorized in the State to provide accreditation that demonstrates a hospital's compliance with all licensing inspections required by the State.
Accordingly, the purpose of this Act is to require the department of health to adopt rules to allow hospitals to demonstrate compliance with all licensing inspections required by the State through accreditation or certification by any accreditation or certification organization recognized by the Centers for Medicare and Medicaid Services.
SECTION 2. Section 321-14.5, Hawaii Revised Statutes, is amended by amending subsections (c) to (e) to read as follows:
"(c) The rules [may] shall provide that
accreditation or certification by [The Joint Commission] an
accreditation or certification organization recognized by the Centers for
Medicare and Medicaid Services demonstrates a hospital's compliance with all
licensing inspections required by the State.
The rules may exempt a hospital from a licensing inspection on a continuing
basis throughout the term of the accreditation or certification under the
following conditions:
(1) The hospital provides
the department with a certified copy of the hospital's official accreditation or
certification report [from The Joint Commission];
(2) The hospital continuously
holds full accreditation [by The Joint Commission;] or certification
and provides the department with a certified copy of the hospital's official
accreditation or certification report; and
(3) The hospital holds a current and valid state license.
(d) The rules shall provide that the department may
conduct inspections and investigations of exempt hospitals [to investigate]
regarding complaints, [follow up on] adverse accreditation or
certification findings, or [conduct] periodic validation surveys.
(e)
Information contained in reports of survey and official accreditation or
certification letters made by [The Joint Commission] an accreditation
organization or a certification organization recognized by the Centers for
Medicare and Medicaid Services that are used in determining compliance with
licensing requirements shall be public information."
SECTION 3. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 4. This Act shall take effect on July 1, 2026.
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INTRODUCED BY: |
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Report Title:
Hospital Licensing; Department of Health; Centers for Medicare and Medicaid Services; Accreditation Organizations; Certification Organizations; Licensing Inspections
Description:
Requires the Department of Health to adopt rules to allow hospitals to demonstrate compliance with all licensing inspections required by the State through accreditation or certification by any accreditation or certification organization recognized by the Centers for Medicare and Medicaid Services.
The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
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Date
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Status
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| Jan 26, 2026 | Referred to HLT, CPC, referral sheet 1 |
| Jan 21, 2026 | Introduced and Pass First Reading. |
| Jan 14, 2026 | Prefiled. |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
Bill Author
Bill Co-Author(s):