Hawaii Senate Bill SB1476

Hawaii 2024 Regular Session

• Introduced: 1/25/23
• Refer: 1/30/23
• Report Pass: 2/17/23
• Report Pass: 3/3/23
• Refer: 2/17/23
• Engrossed: 3/7/23
• Refer: 3/9/23

Caption

Relating To Special Purpose Revenue Bonds.

Impact

The establishment of the West Maui Hospital is projected to significantly improve medical service delivery in an area that has faced prolonged healthcare access issues. This bill supports local infrastructure development tied closely to population growth, including new housing projects and tourism influx in West Maui. The authorization of up to $20 million in special purpose revenue bonds reflects a public commitment to address the healthcare needs of the community effectively. Furthermore, the bill requires the County of Maui to act as a guarantor for the bond debt service, ensuring fiscal responsibility and accountability in the construction process.

Summary

Senate Bill 1476 is designed to address a critical healthcare access issue in the West Maui community by authorizing the issuance of special purpose revenue bonds. These funds are intended to finance the construction of a new hospital, the West Maui Hospital and Medical Center, which is deemed necessary due to the growing population and inadequate emergency medical services in the region. The legislation recognizes the challenges posed by limited access and connectivity on the island, exacerbated by potential natural disasters that may block access routes. The proposed facility aims to not only cater to emergency needs but also provide additional healthcare services, thereby integrating into the existing healthcare system on Maui.

Contention

While the bill focuses on improving healthcare access, questions may arise regarding the financial implications for the county, particularly related to the guaranty of the bonds. Some stakeholders may express concerns about the long-term fiscal burdens on local budgets or the prioritization of healthcare projects amidst other pressing community needs. Additionally, there may be debates over the adequacy of the proposed facility’s capacity to meet future demands in a rapidly growing area. Local advocacy groups may also be engaged in discussions about ensuring equitable service delivery and preventing any disparities in healthcare access among different population segments in Maui.