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BR-PDInitiated-Hospitals.doc 9/16/2024 COUNTY OF HAWAI‘I PLANNING DEPARTMENT BACKGROUND AND RECOMMENDATION
PLANNING DIRECTOR INITIATED (PL-PDI-2024-000009) AMENDMENT TO CHAPTER 25, ARTICLE 5 OF THE HAWAI‘I COUNTY CODE 1983 (2016 EDITION, AS AMENDED), RELATING TO HOSPITALS, SANITARIUMS, OLD AGE, CONVALESCENT, NURSING AND REST HOMES
The Planning Director has initiated an ordinance to amend Chapter 25 (Zoning), Article 5
of the Hawai‘i County Code 1983 (2016 Edition, as amended) relating to hospitals,
sanitariums, old age, convalescent, nursing and rest homes.
PURPOSE OF THE BILL
The purpose of this bill is to promote the establishment and development of
hospitals, sanitariums, old age, convalescent, nursing and rest homes within the
Industrial-Commercial Mixed zoning district to improve access to healthcare services
while ensuring compatibility with industrial and commercial land uses.
PROPOSED AMENDMENTS TO HCC CHAPTER 25 (ZONING)
Chapter 25 (Zoning) of the Hawaiʻi County Code 1983 (2016 Edition, as
amended) is proposed to be amended as shown in the attached bill as Planning
Department Exhibit 1. The specific amendment to Section 25-5-132 (Relating to
Permitted Uses) follows:
“(a) The following uses shall be permitted in the MCX district:
“(26) Hospitals, sanitariums, old age, convalescent, nursing, and rest
homes.” AGENCY – NO RESPONSE PROVIDED
1) Department of Public Works–Engineering Division; Department of Public
Works–Building Division; Department of Water Supply; Civil Defense Agency;
Police Department; Fire Department; State Department of Health.
PUBLIC COMMENTS PROVIDED
2) None at the time of this writing.
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PLANNING DEPARTMENT ANALYSIS
The Zoning Code was amended in 1996 to establish the MCX district to provide
for areas of diversified businesses and employment opportunities by permitting a broad
range of uses, without exposing nonindustrial uses to unsafe and unhealthy environments.
This district is intended to promote and maintain a viable mix of light industrial and
commercial uses.
While hospitals are not a permitted use in the MCX district, they are currently
allowed by right within the General Commercial (CG), Village Commercial (CV) and
Downtown Hilo Commercial (CDH) zoning districts, and permitted by the issuance of a
Use Permit in the Single-Family Residential (RS), Double-Family Residential (RD),
Multiple-Family Residential (RM), Residential-Commercial Mixed Use Districts (RCX),
Resort-Hotel (V) zoning districts, and permitted by issuance of a Special Permit in the
Residential and Agricultural (RA), Family Agricultural (FA), Agricultural (A), Intensive
Agricultural (IA) zoning districts.
There is currently no allowance for hospitals to be located within any of the three
industrial zoning designations: General Industrial (MG), which allows for the most
offensive and noxious uses; Limited Industrial (ML), which allows for lesser offensive
and noxious uses; and MCX, which allows the least offensive or noxious uses (the most
severe of which include light manufacturing, processing, and packaging establishments,
minor agricultural products processing facilities, heavy equipment sales, service, and
rental, and automobile repair facilities). In light of the above, the Planning Director is
proposing to permit hospitals within the MCX district for the following reasons:
1. Alignment with Public Health and Safety Goals
The inclusion of hospitals within the MCX zoning district aligns with Hawaiʻi
County’s broader public health and safety objectives. The County’s General Plan
emphasizes the importance of providing accessible healthcare facilities to all
residents, which is critical given the County’s geographically dispersed
population. Allowing hospitals in mixed commercial-industrial areas will support
improved access to urgent and specialized care, benefiting local communities.
2. Consistency with the Intent of the MCX District
The MCX zoning district is designed to foster a mixture of commercial, office,
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and light industrial uses, creating vibrant, multi-functional areas. Hospitals
complement the district’s intent by offering essential services that are compatible
with existing uses in these areas. Moreover, hospitals often serve as economic
anchors in communities, attracting ancillary healthcare services, medical offices,
and related businesses, which can further strengthen the economic vitality of
MCX zones. As mentioned above, there should be little impact on hospitals from
offensive or noxious uses allowed in the MCX district. Furthermore, there are
several public and commercial uses allowed by right in the MCX district,
including theatres, community buildings, day care centers, schools (with the
issuance of a Use Permit), meeting facilities, offices, restaurants, retail
establishments, etc. Finally, the MCX district currently allows medical clinics as a
permitted use. Based on the preceding, the inclusion of hospitals in the MCX
district is consistent with these other permitted uses.
3. Meeting the Needs of a Growing Population
Hawaiʻi County has experienced population growth, increasing the demand for
healthcare services. Existing hospital infrastructure is strained, particularly in
rural and underserved areas. Amending the code to permit hospitals in MCX
zones addresses this growing demand by expanding the locations where
healthcare facilities can be established, alleviating pressure on existing hospitals,
and reducing overcrowding.
4. Economic and Employment Benefits
Hospitals are major employers and their presence in the MCX district would
provide significant economic benefits to the local community. In addition to
creating high-quality jobs, hospitals contribute to the surrounding commercial
environment by increasing demand for retail, food services, and other support
services. The amendment could foster economic growth and diversification in
areas designated as MCX, particularly in communities with limited employment
opportunities.
By providing greater flexibility in land use while enhancing access to critical
healthcare services, this amendment ensures that the MCX district continues to evolve
into a vibrant and multifunctional area.
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PLANNING DIRECTOR’S RECOMMENDATION
For the reasons cited above, the Planning Director recommends that the Leeward
and Windward Planning Commission send a favorable recommendation of this bill to
the Hawaiʻi County Council for the amendment to Chapter 25 (Zoning) of the
Hawaiʻi County Code 1983 (2016 edition, as amended) relating to hospitals,
sanitariums, old age, convalescent, nursing and rest homes as it will benefit the
community by addressing both present and future healthcare needs.
COUNTY OF HAWAI‘I STATE OF HAWAI‘I
BILL NO.
ORDINANCE NO.
AN ORDINANCE AMENDING CHAPTER 25, ARTICLE 5 OF THE HAWAI‘I
COUNTY CODE 1983 (2016 EDITION, AS AMENDED), RELATING TO HOSPITALS
SANITARIUMS, OLD AGE, CONVALESCENT, NURSING AND REST HOMES.
BE IT ORDAINED BY THE COUNCIL OF THE COUNTY OF HAWAI‘I:
SECTION 1. Findings and purpose. The purpose of this ordinance is to promote the
establishment and development of hospitals within the Industrial-Commercial Mixed zoning
district.
SECTION 2. Chapter 25, article 5, division 13, section 25-5-132, of the Hawai‘i
County Code 1983 (2016 Edition, as amended), is amended by amending subsection (a)
to read as follows:
Section 25-5-132. Permitted uses.
(a)The following uses shall be permitted in the MCX district:
(1)Agricultural products processing, minor.
(2)Amusement and recreation facilities, indoor.
(3)Art galleries, museums.
(4)Art studios.
(5)Automobile sales and rentals.
(6)Automobile service stations.
(7)Bars, nightclubs and cabarets.
(8)Broadcasting stations.
(9)Business services.
(10)Car washing.
(11)Catering establishments.
(12)Cemeteries and mausoleums, as permitted under chapter 6, article 1 of
this Code.
(13)Churches, temples and synagogues.
(14)Cleaning plants using only nonflammable hydrocarbons in a sealed unit as
the cleaning agent.
(15)Commercial parking lots and garages.
(16)Community buildings, as permitted under section 25-4-11.
(17)Convenience stores.
(18)Crematoriums, funeral homes, funeral services, and mortuaries.
(19)Data processing facilities.
(20)Display rooms for products sold elsewhere.
(21)Equipment sales and rental yards.
(22)Farmers markets.
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(23) Financial institutions.
(24) Food manufacturing and processing.
(25) Home improvement centers.
(26) Hospitals, sanitariums, old age, convalescent, nursing and rest homes.
[(26)](27) Ice storage and dispensing facilities.
[(27)](28) Kennels in sound-attenuated buildings.
[(28)](29) Laboratories, medical and research.
[(29)](30) Laundries.
[(30)](31) Manufacturing, processing and packaging establishments, light.
[(31)](32)Medical clinics.
[(32)](33)Meeting facilities.
[(33)](34) Model homes.
[(34)](35) Motion picture and television production studios.
[(35)](36) Offices.
[(36)](37) Personal services.
[(37)](38) Photographic processing.
[(38)](39) Photography studios.
[(39)](40) Plant nurseries.
[(40)](41) Public uses and structures, as permitted under section 25-4-11.
[(41)](42) Publishing plants for newspapers, books and magazines, printing
shops, cartographing, and duplicating processes such as blueprinting or
photostating shops.
[(42)](43) Repair establishments, minor.
[(43)](44) Restaurants.
[(44)](45) Retail establishments.
[(45)](46) Sales and service of machinery used in agricultural production.
[(46)](47) Schools, business.
[(47)](48) Schools, photography, art, music and dance.
[(48)](49) Schools, vocational.
[(49)](50) Self-storage facilities.
[(50)](51) Telecommunications antennas, as permitted under section 25-4-12.
[(51)](52) Temporary real estate offices, as permitted under section 25-4-8.
[(52)](53) Theaters.
[(53)](54) Utility substations, as permitted under section 25-4-11.
[(54)](55) Veterinary establishments in sound-attenuated buildings.
[(55)](56) Warehousing.
[(56)](57) Wholesaling and distribution operations.
SECTION 3. New material is underscored and material to be repealed is bracketed and
stricken. In printing this ordinance, the underscoring, brackets, and bracketed and stricken text
need not be included.
SECTION 4. Severability. If any provision of this ordinance, or the application thereof
to any person or circumstance, is held invalid, the invalidity does not affect other provisions or
applications of the ordinance which can be given effect without the invalid provision or
application, and to this end the provisions of this ordinance are severable.
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SECTION 5. This ordinance shall take effect upon approval.
INTRODUCED BY:
_______________________________________
COUNCIL MEMBER, COUNTY OF HAWAI‘I
_______________, Hawai‘i
Date of Introduction:
Date of 1st Reading:
Date of 2nd Reading:
Effective Date: