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HB1540 • 2026

RELATING TO HOME HEALTH LICENSING.

RELATING TO HOME HEALTH LICENSING.

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
TAKAYAMA
Last action
2026-01-26
Official status
Referred to HLT, CPC, referral sheet 1
Effective date
Not listed

Plain English Breakdown

The bill's impact is limited to licensed home health agencies in Hawaii.

Home Health Licensing Act

This bill allows the Department of Health to accept accreditation from recognized organizations as proof that home health agencies meet state licensing requirements, under certain conditions.

What This Bill Does

  • Allows the Department of Health to use accreditation or certification by an organization recognized by the Centers for Medicare and Medicaid Services (CMS) as evidence that a licensed home health agency meets all state licensing inspection standards.
  • Specifies that a home health agency can be exempt from regular inspections if it maintains full accreditation or certification and provides proof to the department.
  • Requires information obtained in reports of survey and accreditation or certification letters to be public information.

Who It Names or Affects

  • Home health agencies
  • The Department of Health

Terms To Know

Accreditation
A process where an organization is officially recognized as meeting certain standards.
Certification
Official recognition that a person or organization meets specific criteria.

Limits and Unknowns

  • The bill does not specify what happens if a home health agency loses its accreditation or certification.
  • It is unclear how the public will access the required reports and letters.

Bill History

  1. 2026-01-26 H

    Referred to HLT, CPC, referral sheet 1

  2. 2026-01-21 H

    Introduced and Pass First Reading.

  3. 2026-01-14 H

    Prefiled.

Official Summary Text

RELATING TO HOME HEALTH LICENSING.
Department of Health; Home Health Agencies; Accreditation; Certification; Licensing Inspections; Public Information
Authorizes the Department of Health to accept accreditation from an accreditation organization or a certification organization recognized by the Centers for Medicare and Medicaid Services as demonstration that a licensed home health agency is in compliance with all licensing inspections required by the State. Specifies conditions under which a home health agency may be exempt from a licensing inspection on a continuing basis. Requires information obtained in reports of survey and accreditation or certification letters to be public information.

Current Bill Text

Read the full stored bill text
HB1540

HOUSE OF REPRESENTATIVES

H.B. NO.

1540

THIRTY-THIRD LEGISLATURE, 2026

STATE OF HAWAII

A BILL FOR AN ACT

relating
to home health licensing
.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

����
SECTION 1.
�
The purpose of this Act is to authorize the
department of health to accept accreditation from an accreditation organization
or a certification organization recognized by the Centers for Medicare and
Medicaid Services as demonstration that a licensed home health agency is in compliance
with all licensing inspections required by the State.

����
SECTION
2
.
�
Section 321-91,
Hawaii Revised Statutes, is amended to read as follows:

����
"
�321-91
�
Program of home health
services.
�
(a)
�
The department of health is authorized to
establish and administer a program to provide home health services, pursuant to
the provisions of Title XVIII of the Social Security Act.
�
Home health services shall mean ancillary
paramedical services rendered in the patient's home, and shall include[
,
]
but not be limited to[
,
] professional nursing care, physiotherapy,
occupational therapy, speech and hearing therapy, medical social services, and
home health aide services.
�
The authority
of the department [
hereunder
]
under this subsection
shall be
liberally construed in order that the State may receive the maximum benefits of
[
said
] Title XVIII.

����
(b)
�
A home health agency that is licensed by the
department of health and accredited or certified by an accreditation organization
or a certification organization recognized by the Centers for Medicare and
Medicaid Services may be used to demonstrate the home health agency's compliance
with all licensing inspections required by the State.
�
The home health agency may be exempt from a
licensing inspection on a continuing basis throughout the term of the
accreditation or certification under the following conditions:

����
(1)
�
The home health
agency provides the department of health with a certified copy of the home
health agency's official accreditation or certification report;

����
(2)
�
The home health
agency continuously holds full accreditation or certification and provides the
department of health with a certified copy of the home health agency's official
accreditation or certification report; and

����
(3)
�
The home health
agency holds a current and valid state license.

����
(c) The
department of health may conduct inspections and investigation of home health
agencies exempt from licensing inspections pursuant to subsection (b) regarding
complaints, adverse accreditation or certification findings, or periodic
validation surveys.

����
(d)
�
Information contained in reports of survey and
official accreditation or certification letters made by 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 pursuant to this section shall be public information.

����
(e) All
other records maintained by the department of health for the purposes of this
section shall be governed by chapter 92F.
"

����
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.

INTRODUCED BY:

_____________________________

Report Title:

Department
of Health; Home Health Agencies; Accreditation; Certification; Licensing Inspections;
Public Information

Description:

Authorizes
the Department of Health to accept accreditation
from an accreditation organization
or a certification organization recognized by the Centers for Medicare and
Medicaid Services as demonstration that a licensed home health agency is in
compliance with all licensing inspections required by the State
.
�

Specifies conditions under which a home health agency may be exempt from
a licensing inspection on a continuing basis.
�

Requires information obtained in reports of survey and accreditation or
certification letters to be public information.

The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.