Expands the definition of “private entity” to include business organizations that are authorized to transact business in the State, including nonprofit management entities that have a certificate of need or license to operate one or more community hospitals or hospitals serving a rural population licensed under the laws of any state. Beginning January 1, 2024, requires the Chief Executive Officer of the Hawaiʻi Health Systems Corporation or the Chief Executive Officer’s designee, before entering into any new agreement or modifying or terminating any existing agreement, to provide written comments to the Governor.