Requires public notice and public engagement when a general hospital seeks to close entirely or a unit that provides maternity, mental health or substance use care.
STATE OF NEW YORK
________________________________________________________________________
10736
IN ASSEMBLY
March 27, 2026
___________
Introduced by M. of A. SIMON -- read once and referred to the Committee
on Health
AN ACT to amend the public health law, in relation to providing public
notice and public engagement when a general hospital seeks to close
entirely or a unit that provides maternity, mental health or substance
use care
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Short title. This act shall be known and may be cited as
2 the "local input in community healthcare act".
3 § 2. Section 2801-g of the public health law, as added by chapter 541
4 of the laws of 2010, subdivision 4 as added by section 3 of part E of
5 chapter 57 of the laws of 2023, is amended to read as follows:
6 § 2801-g. Community [forum] notice and engagement on hospital closure.
7 1. Process for the closure of a general hospital or a unit of a general
8 hospital. This section sets forth a process for the closure of a general
9 hospital or a unit of a general hospital. As used in this section,
10 "unit" means a portion of a general hospital that offers licensed emer-
11 gency, maternity, mental health or substance use services, including any
12 specialty care or any other hospital service in an operating certificate
13 as approved under section twenty-eight hundred five of this article. For
14 the purposes of this section, the closure of a unit of a general hospi-
15 tal shall include a reduction of such services. As used in this
16 section, "reduction" means a reduction in services that results in:
17 (a) more than fifteen percent of a reduction in patient capacity of a
18 unit within twelve months; or
19 (b) a twenty-five percent or more reduction in patient capacity in
20 aggregate within a twenty-four month period; or
21 (c) a thirty-five percent or more reduction in patient capacity in
22 aggregate within a thirty-six month period.
23 2. Closure of a general hospital. (a) Written notification of a
24 proposed closure of a general hospital must be provided to the depart-
25 ment and all parties listed in subparagraph (ii) of paragraph (c) of
26 this subdivision no later than two hundred seventy days prior to the
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD03821-03-6
A. 10736 2
1 proposed closure date. Nothing in this section shall prohibit a general
2 hospital from conferring with the department prior to submitting such
3 written notification to give informal notice and seek guidance.
4 (b) Application. A general hospital that seeks to close entirely
5 shall submit an application that requires review by the public health
6 and health planning council, or any successor entity. The application
7 for the closure shall include a health equity impact assessment, as
8 defined by section twenty-eight hundred two-b of this article, and a
9 proposed closure plan. The application shall be submitted at least two
10 hundred ten days before the proposed closure. No cessation, pause,
11 transfer, or limitation of service may be carried out while the closure
12 application is pending without prior written approval by the commission-
13 er or the commissioner's designee, who may take into consideration the
14 impacts on quality of care and patient safety stemming from changes in
15 patient volume or services. As used in this section, "transfer of
16 services" shall include conversion of services from inpatient to outpa-
17 tient services, the moving of services to other facilities, or the
18 transfer of personnel that would constitute a reduction or unavailabili-
19 ty of services.
20 (c) Public community forum. (i) No later than [thirty] one hundred
21 fifty days [after] prior to the proposed closure of a general hospital,
22 the commissioner shall hold a public community forum for the purpose of
23 obtaining public input concerning the anticipated impact of the general
24 hospital's closure on access to health care services by members of the
25 surrounding community, including but not limited to recipients of
26 medical assistance for needy persons, the uninsured, and medically
27 underserved populations as defined in paragraph (d) of subdivision one
28 of section twenty-eight hundred two-b of this article, and options and
29 proposals to ameliorate such anticipated impact. The commissioner shall
30 afford community members, health care providers, labor unions, payers,
31 businesses and consumers a reasonable opportunity to speak about rele-
32 vant matters at such community forum.
33 [2.] (ii) No later than [sixty] thirty days [after] before holding a
34 community forum pursuant to [subdivision one of this section] this para-
35 graph, the commissioner shall make available to the public on the
36 department's website information regarding:
37 [(a)] (A) the proposed closure plan submitted by the general hospital;
38 (B) the anticipated impact of the general hospital's closure on access
39 to health care services by members of the surrounding community, includ-
40 ing but not limited to recipients of medical assistance for needy
41 persons, the uninsured, and underserved populations;
42 [(b)] (C) specific measures the department and other parties have
43 taken or will take to ameliorate such anticipated impact including but
44 not limited to ensuring that the services to be eliminated would be
45 available to Medicaid, or individuals that are insured by a publicly-
46 subsidized plan and uninsured patients at the surrounding area facili-
47 ties that are taking new patients; and
48 [(c)] (D) any further recommendations regarding access to health care
49 services in communities impacted by the general hospital's closure.
50 [3.] (iii) A community forum conducted pursuant to this section shall
51 be held at a location within a reasonable proximity to the general
52 hospital or unit subject to the proposed closure, and shall be announced
53 no less than [ten] fourteen days prior to the date of such community
54 forum. Such forum shall be held at a proper time and be accessible to
55 the impacted community virtually and physically.
A. 10736 3
1 [4. At least thirty days prior to a general hospital applying to the
2 federal centers for medicare and medicaid services to convert from a
3 general hospital with inpatients to a rural emergency hospital under 42
4 USC 1395x(kkk), or successor provisions, such hospital shall hold a
5 public community forum for the purpose of obtaining public input
6 concerning the anticipated impact of the hospital's closure of inpatient
7 units, including but not limited to, the impact on recipients of medical
8 assistance for needy persons, the uninsured, people with disabilities,
9 and medically underserved populations, and options and proposals to
10 ameliorate such anticipated impact.
11 The] (iv) No later than thirty days prior to a community forum under
12 this section, the general hospital shall notify health care providers,
13 labor unions, the [congressional] local, state, and federal legislative
14 representative, the office of the attorney general, the county execu-
15 tive, mayor, town supervisor, and in the case of the city of New York,
16 the borough president, and community board for [the] every district in
17 which the [facility] general hospital is located, [the county executive
18 of the county in which the facility is located, and the state senator
19 and assembly member representing the area within which the facility is
20 located] of the date, time, and location of the community forum. The
21 general hospital shall afford all public participants a reasonable
22 opportunity to speak about relevant matters at such community forum.
23 Prior to [any] a community forum and as soon as practicable, the general
24 hospital shall be required to:
25 [(a)] (A) notify the office of mental health and the local director of
26 community services in the event such general hospital has psychiatric
27 inpatient beds licensed under article thirty-one of the mental hygiene
28 law or designated pursuant to section 9.39 of the mental hygiene law,
29 and
30 [(b)] (B) notify the office of addiction services and supports in the
31 event such general hospital has inpatient substance use disorder treat-
32 ment programs or inpatient chemical dependence treatment programs
33 licensed under article thirty-two of the mental hygiene law. The commis-
34 sioner shall also accept comments submitted in writing at such public
35 forum and by mail or electronic mail within at least two weeks following
36 the community forum.
37 (v) The commissioner shall also accept comments submitted in writing
38 at such public forum and by mail or electronic mail within at least two
39 weeks following the community forum.
40 (d) Revised closure plan. No later than thirty days after the communi-
41 ty forum, the general hospital shall submit a revised closure plan to
42 the department addressing concerns raised by community stakeholders
43 during the community forum. The general hospital and the department
44 shall make the revised closure plan publicly available on their websites
45 no later than forty-five days after the community forum.
46 (e) Public health and health planning council review. No later than
47 ninety days prior to the proposed closure, the public health and health
48 planning council, or any successor entity, shall hold a public meeting
49 before the council to review the application, including the health equi-
50 ty impact assessment and revised closure plan. Within two weeks after
51 such meeting, the public health and health planning council shall make a
52 recommendation to the commissioner for the commissioner's consideration.
53 3. Closure of a unit of a general hospital. (a)(i) Written notifica-
54 tion of a proposed closure of a unit of a general hospital, as defined
55 in subdivision one of this section, must be provided to the department
56 and all parties listed in subparagraph (iv) of paragraph (c) of subdivi-
A. 10736 4
1 sion two of this section no later than two hundred ten days prior to the
2 proposed closure date. Nothing in this section shall prohibit a general
3 hospital from conferring with the department prior to submitting such
4 written notification to give informal notice and seek guidance.
5 (ii) A reduction in services or closure of a unit in a general hospi-
6 tal shall not be required to undergo the process set forth in this
7 section if the general hospital demonstrates to the department a good
8 cause for such reduction or closure of a unit, which shall include one
9 or more of the following:
10 (A) whether such closure or reduction is temporary in order to modern-
11 ize a facility;
12 (B) whether such closure addresses the current health care demand,
13 such as patient volume and the overall availability of services in the
14 facility's health service area or county served;
15 (C) there are acute labor shortages outside of the control of the
16 general hospital that impacts patient safety; or
17 (D) an acute financial emergency outside of the control of the general
18 hospital.
19 (b) Application. A general hospital that seeks the closure of a unit
20 shall submit an application to the department of health that requires
21 review by the public health and health planning council, or any succes-
22 sor entity in addition to approval by the commissioner. The application
23 for the closure shall include a health equity impact assessment, as
24 defined by section twenty-eight hundred two-b of this article, and a
25 proposed closure plan. The application shall be submitted at least one
26 hundred fifty days before the proposed closure. No cessation, pause,
27 transfer, or limitation of service may be carried out while the closure
28 application is pending without prior written approval by the commission-
29 er or the commissioner's designee, who shall take into consideration the
30 impacts on quality of care and patient safety stemming from changes in
31 patient volume or services. As used in this section, "transfer of
32 services" shall include conversion of services from inpatient to outpa-
33 tient services, the moving of services to other facilities, or the
34 transfer of personnel that would constitute a reduction or unavailabili-
35 ty of services.
36 (c) Community public forum. (i) No later than ninety days prior to the
37 proposed closure of a unit of a general hospital, the commissioner shall
38 hold a public community forum for the purpose of obtaining public input
39 concerning the anticipated impact of the unit's closure on quality and
40 access to health care services by members of the surrounding community,
41 including but not limited to recipients of medical assistance for needy
42 persons, the uninsured, and medically underserved populations as defined
43 in paragraph (d) of subdivision one of section twenty-eight hundred
44 two-b of this article, and options and proposals to ameliorate such
45 anticipated impact. The commissioner shall afford community members,
46 health care providers, labor unions, payers, businesses, and other
47 participants a reasonable opportunity to speak about relevant matters at
48 such community forum.
49 (ii) No later than two weeks before holding a community forum pursuant
50 to this paragraph, the commissioner shall make available to the public
51 on the department's website information regarding: (A) the proposed
52 closure plan submitted by the general hospital; (B) the anticipated
53 impact of the closure on quality and access to health care services by
54 members of the surrounding community, including but not limited to
55 recipients of medical assistance for needy persons, the uninsured, and
56 underserved populations; (C) specific measures the department and other
A. 10736 5
1 parties have taken or will take to ameliorate such anticipated impact
2 including but not limited to ensuring that the services to be eliminated
3 would be available to Medicaid, or individuals that are insured by a
4 publicly-subsidized plan and uninsured patients at the surrounding area
5 facilities that are taking new patients; and (D) any further recommenda-
6 tions regarding quality and access to health care services in communi-
7 ties impacted by the closure.
8 (iii) A community forum conducted pursuant to this paragraph shall be
9 held at a location within a reasonable proximity to the unit subject to
10 the proposed closure and shall be announced no less than fourteen days
11 prior to the date of such community forum. Such forum shall be held at a
12 proper time and be accessible to the impacted community virtually and
13 physically.
14 (iv) No later than two weeks prior to the community forum under this
15 section, the general hospital seeking to close a unit shall notify
16 health care providers, labor unions, the local, state, and federal
17 legislative representative, the office of the attorney general, the
18 county executive, mayor, town supervisor, and in the case of the city of
19 New York, the borough president, and community board for every district
20 in which the general hospital is located, of the date, time, and
21 location of the community forum. Prior to the community forum and as
22 soon as practicable, the general hospital shall be required to: (A)
23 notify the office of mental health and the local director of community
24 services in the event such general hospital is seeking to close an inpa-
25 tient psychiatric unit licensed under article thirty-one of the mental
26 hygiene law or designated pursuant to section 9.39 of the mental hygiene
27 law, and (B) notify the office of addiction services and supports in the
28 event the general hospital is seeking to close an inpatient substance
29 use disorder treatment programs or inpatient chemical dependence treat-
30 ment programs licensed under article thirty-two of the mental hygiene
31 law.
32 (v) The commissioner shall also accept comments submitted in writing
33 at such public forum and by mail or electronic mail within at least two
34 weeks following the community forum.
35 (d) Revised closure plan. No later than thirty days after the communi-
36 ty forum, the general hospital shall submit a revised closure plan to
37 the department addressing concerns raised by community stakeholders
38 during the community forum. The general hospital and the department
39 shall make the revised closure plan publicly available on their websites
40 no later than forty-five days after the community forum.
41 (e) Public health and health planning council review. No later than
42 thirty days prior to the proposed closure, the public health and health
43 planning council, or any successor entity, shall hold a public meeting
44 to review the application, including the health equity impact assessment
45 and revised closure plan. Within two weeks after such meeting, the
46 public health and health planning council shall make a recommendation to
47 the commissioner for the commissioner's consideration.
48 4. The commissioner shall make their decision to either approve or
49 deny the closure plan within thirty days following receipt of the recom-
50 mendation from the public health and health planning council.
51 5. At least thirty days prior to a general hospital applying to the
52 federal centers for medicare and medicaid services to convert from a
53 general hospital with inpatients to a rural emergency hospital under 42
54 USC 1395x(kkk), or successor provisions, such general hospital shall
55 hold a public community forum for the purpose of obtaining public input
56 concerning the anticipated impact of the general hospital's closure of
A. 10736 6
1 inpatient units, including but not limited to, the impact on recipients
2 of medical assistance for needy persons, the uninsured, people with
3 disabilities, and medically underserved populations, and options and
4 proposals to ameliorate such anticipated impact.
5 6. No later than January first, two thousand twenty-seven and annually
6 thereafter, the commissioner shall provide a report to the legislature,
7 including but not limited to, identifying the general hospital or unit
8 of a general hospital that has provided written notice of a closure, the
9 proposed closure date and the services impacted by the proposed closure.
10 Such report shall be provided in electronic format and shall be distrib-
11 uted to the temporary president and minority leader of the senate, the
12 speaker and minority leader of the assembly, the chair of the senate
13 standing committee on health, and the chair of the assembly health
14 committee.
15 7. No provision of this section shall modify any other requirement or
16 process for the closure of a general hospital or a unit of a general
17 hospital that is required pursuant to this chapter or the regulations
18 promulgated pursuant to it, including but not limited to any department
19 or public health and health planning council review or approval process.
20 § 3. This act shall take effect on the sixtieth day after it shall
21 have become a law, and shall not apply to any proposed closures on
22 notice to the department as of the date it shall take effect.
