Mahalo for your interest in the ​Samuel Mahelona Memorial Hospital transit-oriented development master plan update (mahelona tod mp) environmental impact statement (eis)!

Please check this website for updates on the EIS, Master Plan, and future permitting.
UPDATES:

Community meeting at the samuel mahelona memorial hospital auditorium - June 23, 2026
RECORDING POSTED BELOW!

Mahalo to those who attended the community meeting at the Samuel Mahelona Memorial Hospital Auditorium on Tuesday, June 23, 2026!
 
The project team shared updates on various hospital improvement projects as well as the progress of Mahelona Transit-Oriented Development Master Plan Update and Environmental Impact Statement, the relocation of the Kapa‘a Public Library, the County of Kauaʻi Supportive Housing project, the Medical Workforce Housing project, and a Legislative update from Senate President Kouchi, and State Representative Nakamura.
We want to hear from you! Please click the button below to share your thoughts on the Mahelona TOD Master Plan, including the latest updates on the legislative session, hospital improvements, supportive housing, medical workforce housing, and Kapaʻa Library relocation.

DRAFT ENVIRONMENTAL IMPACT STATEMENT

​To view the Draft EIS and The Environmental Notice, click on the buttons below. 
On December 23, 2025, the Draft EIS was published in the State of Hawaiʻi Office of Planning and Sustainable Development's (OPSD) Environmental Review Program's (ERP) The Environmental Notice.

The Draft EIS was prepared pursuant to the State of Hawai‘i EIS law (Hawai‘i Revised Statutes, Chapter 343) and the State of Hawai‘i EIS rules (Hawai‘i Administrative Rules, Title 11, Chapter 200.1).
MAHALO FOR YOUR INPUT!
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The 45-day public comment period is has closed. The comment period was open from December 23, 2025 until February 6, 2026.
All comments received during the public comment period will be included and addressed in the Final EIS.

Final Conceptual master plan

The Mahelona TOD MP envisions a comprehensive and integrated wellness village concept that builds upon SMMH's existing healthcare, behavioral health, and long-term care (LTC) services while creating opportunities to provide a continuum of care for physical and mental wellness and aging in place. Healthcare expansions include additional acute care and LTC beds, emergency room (ER) expansion, a renovated occupational therapy (OT) clinic, an in-patient behavioral health facility (BHNPF), a residential behavioral health facility (RBHF), administrative offices, senior day care, and a new facilities support wing. Community facilities include a relocated Kapaʻa Public Library, a preschool, a police substation, an expanded Hoʻōla Lāhui Hawaiʻi facility, a DOH Satellite Service Center with Behavioral Health Administration services and community center space, renovation of the historic Former Doctor's Residence, and two medical office buildings (MOBs) for outpatient and wellness services. The housing component provides up to 498 rental units including supportive housing, medical and community workforce housing, DHHL kūpuna housing, continuing care housing, and the redevelopment of HPHA existing Hale Nana Kai O Kea facility. Infrastructure improvements include a new campus loop road with underground utilities, a connector road to Kūhiō Highway, transit stops, traffic calming measures, and multimodal paths throughout the campus. If fully implemented as conceptualized, the Proposed Action could provide up to 126 healthcare beds and up to 498 rental housing units. Following entitlements, implementation would occur in four sequential five-year phases over approximately 20 years, subject to market conditions, funding availability, community demand, and completion of required permits and regulatory approvals.

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