--- type: "Bill" title: "Relates to requiring a health equity assessment to be filed with an application for construction or change to a hospital or health related service" description: "Requires a health equity assessment to be filed with an application for construction, or substantial reduction of, a hospital or health related service; includes a demonstration of whether and how a project will improve or affect access to hospital services and health care with particular reference to members of medically underserved groups in the applicant's service area." jurisdiction: "us/states/ny" legislature: "New York Legislature" session: "2021-2022" identifier: "S 1451" citation: "New York S 1451 (2021-2022)" classification: ["bill"] subjects: [] status: "enacted" primary_sponsors: ["RIVERA"] version_count: 2 action_count: 25 vote_count: 5 first_action: "2021-01-12" last_action: "2021-12-22" source: "openstates" source_identifier: "ocd-bill/75a8af05-010c-4069-badc-f791e31b0dab" source_url: "http://www.nysenate.gov/legislation/bills/2021/S1451" source_hash: "5a05697e1e57e83c51d463efb1cda91067b95513d6a44f450e2bbdb3e04d2794" vintage: "2026-07-01" source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump" retrieved_at: "2026-07-06" confidence: "reported" tags: ["legislation", "bill", "us-ny"] --- # New York S 1451 (2021-2022) — Relates to requiring a health equity assessment to be filed with an application for construction or change to a hospital or health related service Requires a health equity assessment to be filed with an application for construction, or substantial reduction of, a hospital or health related service; includes a demonstration of whether and how a project will improve or affect access to hospital services and health care with particular reference to members of medically underserved groups in the applicant's service area. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **S1451** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=S1451&term=2021&Text=Y) 2. **S1451A** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2021/S1451A) ## Votes - Floor Vote - Version: A — **44–19** (pass) · upper - Assembly Vote — **102–45** (pass) · lower - Floor Vote — **44–19** (pass) · upper - Floor Vote - Version: A — **44–19** (pass) · upper - Health Vote — **14–1** (pass) · upper ## Sponsors - RIVERA — primary (person) - BIAGGI — cosponsor (person) - COMRIE — cosponsor (person) - HINCHEY — cosponsor (person) - HOYLMAN — cosponsor (person) - JACKSON — cosponsor (person) - KRUEGER — cosponsor (person) - MANNION — cosponsor (person) - MAY — cosponsor (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2021-01-12** REFERRED TO HEALTH `referral-committee` - **2021-01-19** 1ST REPORT CAL.110 - **2021-01-20** 2ND REPORT CAL. - **2021-01-25** ADVANCED TO THIRD READING - **2021-02-01** PASSED SENATE `passage` - **2021-02-01** DELIVERED TO ASSEMBLY - **2021-02-01** REFERRED TO HEALTH `referral-committee` - **2021-02-22** SUBSTITUTED FOR A191 - **2021-02-22** ORDERED TO THIRD READING CAL.88 - **2021-03-25** SUBSTITUTION RECONSIDERED - **2021-03-25** RECOMMITTED TO HEALTH `referral-committee` - **2021-04-26** RECALLED FROM ASSEMBLY - **2021-04-26** RETURNED TO SENATE - **2021-04-26** VOTE RECONSIDERED - RESTORED TO THIRD READING - **2021-04-26** AMENDED ON THIRD READING 1451A `amendment-passage` - **2021-05-10** REPASSED SENATE `passage` - **2021-05-10** RETURNED TO ASSEMBLY - **2021-05-10** REFERRED TO HEALTH `referral-committee` - **2021-06-01** SUBSTITUTED FOR A191A - **2021-06-01** ORDERED TO THIRD READING CAL.88 - **2021-06-01** PASSED ASSEMBLY `passage` - **2021-06-01** RETURNED TO SENATE - **2021-12-10** DELIVERED TO GOVERNOR `executive-receipt` - **2021-12-22** SIGNED CHAP.766 `executive-signature` - **2021-12-22** APPROVAL MEMO.127 ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/75a8af05-010c-4069-badc-f791e31b0dab`. Confidence: reported (aggregated from official New York legislature records).