Bill Text: NY A00660 | 2011-2012 | General Assembly | Introduced


Bill Title: 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 circumstance 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); provides that any amendment to a mission statement of a hospital shall be subject to review by the council which shall issue an advisory opinion regarding the impact thereof; requires voluntary non-profit general hospital mission statement to identify the mission and philosophy of the hospital as it relates to the provision of all health care services and requires proposed amendments thereto to be submitted to the public health council and health commissioner at least 90 days prior to adoption for review.

Spectrum: Partisan Bill (Democrat 18-0)

Status: (Introduced - Dead) 2012-02-02 - advanced to third reading cal.314 [A00660 Detail]

Download: New_York-2011-A00660-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                          660
                              2011-2012 Regular Sessions
                                 I N  A S S E M B L Y
                                      (PREFILED)
                                    January 5, 2011
                                      ___________
       Introduced  by  M.  of  A.  GOTTFRIED,  JACOBS, TOWNS, PAULIN, HOOPER --
         Multi-Sponsored by -- M.   of A.  BRENNAN,  CLARK,  COOK,  CYMBROWITZ,
         DESTITO,  DINOWITZ,  ENGLEBRIGHT,  FARRELL,  GLICK,  LIFTON,  PHEFFER,
         P. RIVERA, WRIGHT -- read once and referred 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,
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD02282-02-1
       A. 660                              2
    1  CORPORATION OR OTHER ENTITY SHALL BE DEEMED TO HAVE AUTHORITY TO OPERATE
    2  A HOSPITAL IF IT HAS OR SHARES DECISION-MAKING AUTHORITY OVER ANY OF THE
    3  FOLLOWING:
    4    (I)  APPOINTMENT OR DISMISSAL OF A HOSPITAL'S MANAGEMENT-LEVEL EMPLOY-
    5  EES OR MEDICAL STAFF;
    6    (II) ELECTION OR REMOVAL OF MEMBERS OF THE GOVERNING BOARD  OR  CORPO-
    7  RATE OFFICERS OF THE HOSPITAL;
    8    (III) APPROVAL OF THE HOSPITAL'S OPERATING OR CAPITAL BUDGETS;
    9    (IV)  ADOPTION,  APPROVAL  OR  ENFORCEMENT OF THE HOSPITAL'S OPERATING
   10  POLICIES OR PROCEDURES, OR THE MISSION AND PHILOSOPHY OF THE HOSPITAL;
   11    (V)  APPROVAL  OF  APPLICATIONS  FOR  CONSTRUCTION  OR   ESTABLISHMENT
   12  APPROVAL FILED BY OR ON BEHALF OF THE HOSPITAL;
   13    (VI)  APPROVAL  OF  HOSPITAL  DEBT  NECESSARY  TO  FINANCE THE COST OF
   14  COMPLIANCE WITH OPERATIONAL OR PHYSICAL PLANT STANDARDS REQUIRED BY LAW;
   15    (VII) APPROVAL OF CONTRACTS FOR MANAGEMENT  OF  THE  HOSPITAL  OR  FOR
   16  CLINICAL SERVICES AT THE HOSPITAL; AND
   17    (VIII)  APPROVAL OF SETTLEMENTS OF ADMINISTRATIVE PROCEEDINGS OR LITI-
   18  GATION TO WHICH THE HOSPITAL IS PARTY THAT EXCEED THE HOSPITAL'S  INSUR-
   19  ANCE COVERAGE OR COVERAGE BY ANY APPLICABLE SELF-INSURANCE FUND.
   20    (C)  ANY  PERSON, PARTNERSHIP, COMPANY, STOCKHOLDER, MEMBER, OR CORPO-
   21  RATION, OR OTHER ENTITY WITH AUTHORITY TO OPERATE A  HOSPITAL  SHALL  BE
   22  SUBJECT  TO  APPROVAL  FOR ESTABLISHMENT BY THE PUBLIC HEALTH AND HEALTH
   23  PLANNING COUNCIL UNDER THIS SECTION, UNLESS OTHERWISE AUTHORIZED BY THIS
   24  CHAPTER TO OPERATE A HOSPITAL WITHOUT SUCH ESTABLISHMENT APPROVAL.
   25    (D) ANY ASSIGNMENT OR DELEGATION OF ANY AUTHORITY TO OPERATE A  HOSPI-
   26  TAL,  AS SET FORTH IN PARAGRAPH (B) OF THIS SUBDIVISION SHALL BE SUBJECT
   27  TO APPROVAL FOR ESTABLISHMENT BY THE PUBLIC HEALTH AND  HEALTH  PLANNING
   28  COUNCIL UNDER THIS SECTION, EXCEPT FOR:
   29    (I)  ASSIGNMENT OR DELEGATION BY THE GOVERNING BODY OF THE HOSPITAL TO
   30  A COMMITTEE OF THE GOVERNING BODY, A CORPORATE OFFICER OR AN EMPLOYEE OF
   31  THE HOSPITAL; OR
   32    (II) A MANAGEMENT CONTRACT UNDER WHICH A GOVERNING BODY CONTRACTS WITH
   33  AN ENTITY TO MANAGE DAY-TO-DAY OPERATIONS OF A HOSPITAL OR A PORTION  OR
   34  SERVICE  THEREOF, PROVIDED THAT SUCH A MANAGEMENT CONTRACT SHALL REQUIRE
   35  THE WRITTEN APPROVAL OF THE COMMISSIONER BEFORE IT MAY TAKE EFFECT.
   36    (E) ANY AMENDMENT TO A MISSION STATEMENT OF A HOSPITAL  UNDER  SECTION
   37  TWENTY-EIGHT  HUNDRED THREE-L OF THIS ARTICLE SHALL BE SUBJECT TO REVIEW
   38  BY THE PUBLIC HEALTH AND HEALTH PLANNING COUNCIL PRIOR TO ITS  ADOPTION.
   39  THE PUBLIC HEALTH COUNCIL SHALL ISSUE AN ADVISORY DETERMINATION DESCRIB-
   40  ING THE IMPACT OF SUCH AMENDMENT ON PUBLIC NEED FOR AND THE AVAILABILITY
   41  OF HEALTH SERVICES IN ACCORDANCE WITH THIS SECTION.
   42    S  2.  Subdivision  1  of  section 2803-l of the public health law, as
   43  amended by chapter 639 of the laws  of  1996,  is  amended  to  read  as
   44  follows:
   45    1.  The governing body of a voluntary non-profit general hospital must
   46  issue  an  organizational mission statement identifying at a minimum THE
   47  MISSION AND PHILOSOPHY OF THE HOSPITAL AS IT RELATES TO THE PROVISION OF
   48  ALL HEALTH CARE SERVICES, the populations and communities served by  the
   49  hospital  and the hospital's commitment to meeting the health care needs
   50  of the community.
   51    S 3. Subdivision 4 of section 2803-l of  the  public  health  law,  as
   52  amended  by  chapter  639  of  the  laws  of 1996, is amended to read as
   53  follows:
   54    4.  The governing body shall file with the  commissioner  its  mission
   55  statement,  its  annual  implementation report, and at least every three
   56  years a report detailing amendments  to  the  statement  and  reflecting
       A. 660                              3
    1  changes  in the hospital's operational and financial commitment to meet-
    2  ing the health care needs  of  the  community,  providing  charity  care
    3  services,  and  improving  access  to health care services by the under-
    4  served.    ANY  AMENDMENT  TO  A  MISSION STATEMENT AS IT RELATES TO THE
    5  PROVISION OR AVAILABILITY OF HEALTH CARE SERVICES PROVIDED BY A HOSPITAL
    6  SHALL BE FILED WITH THE COMMISSIONER AND THE PUBLIC  HEALTH  AND  HEALTH
    7  PLANNING  COUNCIL  AT  LEAST  NINETY  DAYS  PRIOR TO ITS ADOPTION BY THE
    8  GOVERNING BODY. THE PUBLIC HEALTH  AND  HEALTH  PLANNING  COUNCIL  SHALL
    9  REVIEW  SUCH  AMENDMENT AND ITS IMPACT ON PUBLIC NEED FOR AND THE AVAIL-
   10  ABILITY OF  HEALTH  SERVICES,  AND,  PURSUANT  TO  SECTION  TWENTY-EIGHT
   11  HUNDRED  ONE-A  OF  THIS  ARTICLE, SHALL ISSUE AN ADVISORY DETERMINATION
   12  WITH RESPECT TO SUCH IMPACT.
   13    S 4. This act shall take effect immediately.
feedback