S 4275 New York Senate · 2025 Regular Session

Relates to the closure of nursing homes

S 4275 establishes new requirements for nursing home operators intending to close a facility, directly affecting residents, their families, and local communities. Operators must notify the Department of Health at least 90 days in advance and submit a detailed closure plan for approval, outlining how residents will be notified, assessed, and transferred to new settings. The bill prohibits operators from closing until all residents are relocated, increasing fees, or accepting new residents without disclosure during the closure process. Local officials can hold meetings and make recommendations to the Commissioner regarding the closure plan, which must be publicly available. Non-compliance with these provisions can result in penalties.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2025

Committee Review

May 2026

Senate Passage

May 2026

Assembly Passage

Governor

Introduced Feb 3, 2025 Last action May 19, 2026

Maddy AI version diff · 1 comparison

What changed between versions

S4275 → S4275A · 4 edits

MODERATE

This bill was amended to streamline the nursing home closure process by clarifying notification requirements and shifting the approval authority from the commissioner to the department. It also added new protections allowing the commissioner to force immediate closures if a facility is unsafe due to financial distress or mismanagement.

Scope change

The bill's scope expanded to include a new provision empowering the commissioner to order closures for safety reasons related to financial distress or malfeasance, which was not explicitly detailed in the original version.

REQUIREMENT

The requirement for operators to submit a closure plan was changed from needing 'approval' by the commissioner to needing 'approval, modification, or rejection' by the commissioner, with the department explicitly empowered to impose conditions.

The list of entities that must receive copies of the closure notice was updated to clarify that notices go to county, city, town, or village officers, and the recommendation from local officials was changed from binding to non-binding.

ENFORCEMENT

A new section was added allowing the commissioner to order or expedite the closure of a nursing home if the operator's financial distress, mismanagement, or malfeasance makes it unsafe for residents.

TIMELINE

The effective date of the law was changed from April 1st to the sixtieth day after the bill becomes law, and the law now applies to closures occurring at least ninety days after the effective date.

Floor votes · Senate May 15, 2025

How they voted

32–20

Passed · 10 other

Total votes 62

May 15, 2025

D Democratic40

32 Yea 8

80% Yea

R Republican22

20 Nay 2

90% Nay

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

May 19, 2026

Committee

REFERRED TO HEALTH

lower

May 19, 2026

Upper · Passed

PASSED SENATE

upper

May 7, 2026

Upper · Passed

AMENDED 4275A

upper

Jan 7, 2026

Committee

REFERRED TO HEALTH

upper

May 15, 2025

Committee

REFERRED TO HEALTH

lower

May 15, 2025

Upper · Passed

PASSED SENATE

upper

Feb 3, 2025

Committee

REFERRED TO HEALTH

upper

1 primary · 2 co-sponsors