Bill > A06004

This bill requires public notice and engagement when a general hospital seeks to close entirely or close a specific unit providing maternity, mental health, or substance use care. The bill establishes a detailed process for hospital closures that includes several key requirements: hospitals must provide written notification to the department and local officials at least 210-270 days before proposed closure, submit a comprehensive application with a health equity impact assessment, and hold a public community forum to gather input from local stakeholders. The forum must be announced at least 14 days in advance, be physically and virtually accessible, and allow community members to discuss the potential impact on healthcare access. Hospitals must also notify various local and state officials, including legislative representatives, county executives, and community boards. After the public forum, the hospital must submit a revised closure plan addressing community concerns, which will then be reviewed by the Public Health and Health Planning Council. The bill defines specific thresholds for what constitutes a "reduction" in services, such as a 15% reduction in patient capacity within 12 months. Additionally, the bill requires an annual report to the legislature detailing proposed hospital closures and aims to ensure that vulnerable populations, including those on Medicaid and uninsured patients, are not disproportionately impacted by hospital or unit closures.

Budget and Finance, Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A6004