An estimated 176,959 people in Hawaii live with migraine.

Based on U.S. Census ACS 2023 population data and Burch et al. (2021) migraine-specific prevalence rates.

Census ACS 2023 · Burch et al. (2021) · CC BY 4.0

Patient Population by Care Level

How many patients need each level of care.

8,071
need specialist or headache program care
Complexity Levels 1–2*
29,979
need neurology-level care
Complexity Levels 3–4*
138,908
appropriate for primary care
Complexity Level 5*

* Care level estimates are based on a proposed patient complexity framework offered as a basis for clinical and policy discussion. See methodology →

By Congressional District

2 congressional districts in Hawaii

DistrictTotal patientsSpecialist care*Neurology care*Primary care*
HI-0194,6604,31916,03874,307
HI-0282,2993,75213,94164,601

* Care level estimates are based on a proposed patient complexity framework offered as a basis for clinical and policy discussion. See methodology →

Headache Centers & Programs

Hawaii has no Level 1 or Level 2 headache centers.

There are no UCNS-certified headache centers or formal headache programs in Hawaii. Patients who need specialist or headache program-level care must travel out of state or access care via telehealth.

Provider counts reflect headache program providers only — not all neurologists at the same address. UCNS certification verified against the United Council for Neurologic Subspecialties diplomate directory.

More Data Coming

Building a complete picture.

Coming September 2026

Payer Policy Data

What insurers in Hawaii require before authorizing CGRP-targeting therapies — step therapy requirements, formulary placements, and Gold Card law status.

Coming Fall 2026

Prescribing Gap Analysis

How many primary care physicians actively treating migraine patients in Hawaii have never prescribed a CGRP-targeting therapy — by metro area and congressional district.

Doty A. Hawaii Headache Disorder Population Estimates. The Headache Vault; 2026. headachevault.com/research/states/hawaii Licensed CC BY 4.0.
✓ CC BY 4.0
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