The original 120 acres of the SMMH property were ceded lands in Kapa‘a, set aside by the Territorial Legislature for the purpose of establishing and maintaining a County Farm and Sanatorium for the treatment and care of persons afflicted with tuberculosis. Under Governor George Ariyoshi in 1987, further subdivision of the ceded lands occurred so that 60 acres were set aside to the Department of Health for the Samuel Mahelona Hospital. In 1998 the Board of Land and Natural Resources (BLNR) deeded the current 34 acres that make up the SMMH Campus to HHSC. The remaining portions were returned to BLNR’s land inventory, and eventually dispersed to other State agencies (G70, 2020).
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