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S 3366 NY
Passed Legislature

Provides person/entity with authority to operate a hospital shall be subject to approval by public health and health planning council for establishment of hospital

NY · session 2025-2026 · Senate · bill

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Introduced Jan 27, 2025

Latest action (May 11, 2026) REFERRED TO HEALTH

Summary

This bill amends New York's Public Health Law to require public health and health planning council approval for persons and entities with authority to operate hospitals. The bill defines "authority to operate a hospital" as having decision-making power over hospital management, budgets, policies, medical staff, or major contracts. Any person, partnership, corporation, or other entity with such authority must obtain council approval before establishing a hospital. The bill also requires council approval for any assignment or delegation of hospital operation authority, with limited exceptions for internal management arrangements. The bill takes effect immediately and applies to all applications for hospital establishment approval filed after its effective date.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Official abstract

Makes various provisions regarding establishment of a hospital: provides that any person and various other listed entities (i.e., partnership, company, stockholder, member, corporation or other entity) with authority to operate a hospital, shall be subject to approval for establishment by the public health council (unless otherwise authorized to operate a hospital without such establishment approval); provides that any assignment or delegation of any authority to operate a hospital shall be subject to approval for establishment by the council (with certain specified exceptions); specifies circumstances under which a person, partnership, company, etc. shall be deemed to have authority to operate a hospital subject to approval for establishment by the council (with certain specified exceptions); specifies circumstances under which a person, partnership, company, etc. shall be deemed to have authority to operate a hospital (i.e., if it has decision-making authority over listed matters).

Sponsor (1)

Action history (16)

  1. Jan 27, 2025 REFERRED TO HEALTH · upper
  2. May 20, 2025 1ST REPORT CAL.1261 · upper
  3. May 21, 2025 2ND REPORT CAL. · upper
  4. May 22, 2025 ADVANCED TO THIRD READING · upper
  5. Jun 6, 2025 PASSED SENATE · upper
  6. Jun 6, 2025 DELIVERED TO ASSEMBLY · upper
  7. Jun 6, 2025 REFERRED TO HEALTH · lower
  8. Jan 7, 2026 DIED IN ASSEMBLY · lower
  9. Jan 7, 2026 RETURNED TO SENATE · lower
  10. Jan 7, 2026 REFERRED TO HEALTH · upper
  11. May 5, 2026 1ST REPORT CAL.971 · upper
  12. May 6, 2026 2ND REPORT CAL. · upper
  13. May 7, 2026 ADVANCED TO THIRD READING · upper
  14. May 11, 2026 PASSED SENATE · upper
  15. May 11, 2026 DELIVERED TO ASSEMBLY · upper
  16. May 11, 2026 REFERRED TO HEALTH · lower

Text versions (2)

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

  • S3366 · HTML
  • S3366 · PDF

Full text

Full text imported from assembly.state.ny.us

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Bill No.: Summary Actions Committee&nbspVotes Floor&nbspVotes Memo Text LFIN Chamber&nbspVideo/Transcript S03366 Summary: BILL NO S03366 &nbsp SAME AS No Same As &nbsp SPONSOR RIVERA &nbsp COSPNSR &nbsp MLTSPNSR &nbsp Amd §2801-a, Pub Health L &nbsp Makes various provisions regarding establishment of a hospital: provides that any person and various other listed entities (i.e., partnership, company, stockholder, member, corporation or other entity) with authority to operate a hospital, shall be subject to approval for establishment by the public health council (unless otherwise authorized to operate a hospital without such establishment approval); provides that any assignment or delegation of any authority to operate a hospital shall be subject to approval for establishment by the council (with certain specified exceptions); specifies circumstances under which a person, partnership, company, etc. shall be deemed to have authority to operate a hospital subject to approval for establishment by the council (with certain specified exceptions); specifies circumstances under which a person, partnership, company, etc. shall be deemed to have authority to operate a hospital (i.e., if it has decision-making authority over listed matters).

Go to top S03366 Text:

STATE OF NEW YORK ________________________________________________________________________

3366

2025-2026 Regular Sessions

IN SENATE

January 27, 2025 ___________

Introduced by Sen. RIVERA -- read twice and ordered printed, and when printed to be committed to the Committee on Health

AN ACT to amend the public health law, in relation to hospital estab- lishment

The People of the State of New York, represented in Senate and Assem- bly, do enact as follows:

1 Section 1. Subdivision 1 of section 2801-a of the public health law, 2 as amended by section 57 of part A of chapter 58 of the laws of 2010, is 3 amended to read as follows: 4 1. (a) No hospital, as defined in this article, shall be established 5 except with the written approval of the public health and health plan- 6 ning council. No certificate of incorporation of a business membership 7 or not-for-profit corporation shall hereafter be filed which includes 8 among its corporate purposes or powers the establishment or operation of 9 any hospital, as defined in this article, or the solicitation of 10 contributions for any such purpose, or two or more of such purposes, 11 except with the written approval of the public health and health plan- 12 ning council, and when otherwise required by law of a justice of the 13 supreme court, endorsed on or annexed to the certificate of incorpo- 14 ration. No articles of organization of a limited liability company 15 established pursuant to the New York limited liability company law which 16 includes among its powers or purposes the establishment or operation of 17 any hospital as defined in this article, shall be filed with the depart- 18 ment of state except upon the approval of the public health and health 19 planning council. 20 (b) For the purposes of this subdivision, a person (other than a 21 person acting solely as a member of the governing body of a hospital or 22 an employee of a hospital), partnership, company, stockholder, member, 23 corporation or other entity shall be deemed to have authority to operate 24 a hospital if it has or shares decision-making authority over any of the 25 following:

EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD07047-01-5

S. 3366 2

1 (i) appointment or dismissal of a hospital's management-level employ- 2 ees or medical staff; 3 (ii) election or removal of members of the governing board or corpo- 4 rate officers of the hospital; 5 (iii) approval of the hospital's operating or capital budgets; 6 (iv) adoption, approval or enforcement of the hospital's operating 7 policies or procedures; 8 (v) approval of applications for construction or establishment 9 approval filed by or on behalf of the hospital; 10 (vi) approval of hospital debt necessary to finance the cost of 11 compliance with operational or physical plant standards required by law; 12 (vii) approval of contracts for management of the hospital or for 13 clinical services at the hospital; and 14 (viii) approval of settlements of administrative proceedings or liti- 15 gation to which the hospital is party that exceed the hospital's insur- 16 ance coverage or coverage by any applicable self-insurance fund. 17 (c) Any person, partnership, company, stockholder, member, or corpo- 18 ration, or other entity with authority to operate a hospital shall be 19 subject to approval for establishment by the public health and health 20 planning council under this section, unless otherwise authorized by this 21 chapter to operate a hospital without such establishment approval. 22 (d) Any assignment or delegation of any authority to operate a hospi- 23 tal, as set forth in paragraph (b) of this subdivision shall be subject 24 to approval for establishment by the public health and health planning 25 council under this section, except for: 26 (i) assignment or delegation by the governing body of the hospital to 27 a committee of the governing body, a corporate officer or an employee of 28 the hospital; or 29 (ii) a management contract under which a governing body contracts with 30 an entity to manage day-to-day operations of a hospital or a portion or 31 service thereof, provided that such a management contract shall require 32 the written approval of the commissioner before it may take effect. 33 § 2. This act shall take effect immediately, provided, however, that 34 the provisions of this act shall only apply to applications submitted to 35 the public health and health planning council seeking approval for 36 establishment after the effective date of this act.

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