---
type: "Bill"
title: "Relates to regulation of billing of facility fees"
description: "Relates to regulation of the billing of facility fees; requires notice prior to billing facility fees not covered by a patient's insurance; defines facility fees as those charged by a hospital, facility or provider designed to compensate for operational costs separate from professional fees."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2021-2022"
identifier: "S 2521"
citation: "New York S 2521 (2021-2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["RIVERA"]
version_count: 4
action_count: 27
vote_count: 5
first_action: "2021-01-21"
last_action: "2022-12-23"
source: "openstates"
source_identifier: "ocd-bill/2e62c789-bd6b-47c9-b7dd-338c38ce91ce"
source_url: "http://www.nysenate.gov/legislation/bills/2021/S2521"
source_hash: "f57c925bee62644e8d8a8a72a5c358548afb3efff52260107af5848ff5d70c7e"
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 2521 (2021-2022) — Relates to regulation of billing of facility fees

Relates to regulation of the billing of facility fees; requires notice prior to billing facility fees not covered by a patient's insurance; defines facility fees as those charged by a hospital, facility or provider designed to compensate for operational costs separate from professional fees.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **S2521** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=S2521&term=2021&Text=Y)
2. **S2521A** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2021/S2521A)
3. **S2521B** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2021/S2521B)
4. **S2521C** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2021/S2521C)

## Votes

- Rules Vote - Version: B — **21–0** (pass) · upper
- Assembly Vote — **98–44** (pass) · lower
- Health Vote - Version: C — **11–3** (pass) · upper
- Floor Vote - Version: B — **54–9** (pass) · upper
- Floor Vote - Version: C — **48–13** (pass) · upper

## Sponsors

- RIVERA — primary (person)
- BAILEY — cosponsor (person)
- BIAGGI — cosponsor (person)
- BRESLIN — cosponsor (person)
- BRISPORT — cosponsor (person)
- BROUK — cosponsor (person)
- CLEARE — cosponsor (person)
- COMRIE — cosponsor (person)
- GAUGHRAN — cosponsor (person)
- GIANARIS — cosponsor (person)
- GOUNARDES — cosponsor (person)
- HARCKHAM — cosponsor (person)
- HINCHEY — cosponsor (person)
- HOYLMAN — cosponsor (person)
- JACKSON — cosponsor (person)
- KAPLAN — cosponsor (person)
- KAVANAGH — cosponsor (person)
- KRUEGER — cosponsor (person)
- LIU — cosponsor (person)
- MAY — cosponsor (person)
- MYRIE — cosponsor (person)
- PARKER — cosponsor (person)
- PERSAUD — cosponsor (person)
- RAMOS — cosponsor (person)
- SALAZAR — cosponsor (person)
- SANDERS — cosponsor (person)
- SEPULVEDA — cosponsor (person)
- SERRANO — cosponsor (person)
- STAVISKY — cosponsor (person)
- THOMAS — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-01-21** REFERRED TO HEALTH `referral-committee`
- **2021-01-29** AMEND AND RECOMMIT TO HEALTH `amendment-passage, referral-committee`
- **2021-01-29** PRINT NUMBER 2521A `amendment-passage`
- **2021-06-02** AMEND (T) AND RECOMMIT TO HEALTH `amendment-passage, referral-committee`
- **2021-06-02** PRINT NUMBER 2521B `amendment-passage`
- **2021-06-07** COMMITTEE DISCHARGED AND COMMITTED TO RULES `referral-committee`
- **2021-06-07** ORDERED TO THIRD READING CAL.1526
- **2021-06-09** PASSED SENATE `passage`
- **2021-06-09** DELIVERED TO ASSEMBLY
- **2021-06-09** REFERRED TO WAYS AND MEANS `referral-committee`
- **2022-01-05** DIED IN ASSEMBLY
- **2022-01-05** RETURNED TO SENATE
- **2022-01-05** REFERRED TO HEALTH `referral-committee`
- **2022-02-24** AMEND AND RECOMMIT TO HEALTH `amendment-passage, referral-committee`
- **2022-02-24** PRINT NUMBER 2521C `amendment-passage`
- **2022-04-26** 1ST REPORT CAL.888
- **2022-04-27** 2ND REPORT CAL.
- **2022-05-02** ADVANCED TO THIRD READING
- **2022-05-17** PASSED SENATE `passage`
- **2022-05-17** DELIVERED TO ASSEMBLY
- **2022-05-17** REFERRED TO WAYS AND MEANS `referral-committee`
- **2022-05-18** SUBSTITUTED FOR A3470C
- **2022-05-18** ORDERED TO THIRD READING RULES CAL.179
- **2022-05-18** PASSED ASSEMBLY `passage`
- **2022-05-18** RETURNED TO SENATE
- **2022-12-12** DELIVERED TO GOVERNOR `executive-receipt`
- **2022-12-23** SIGNED CHAP.764 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2e62c789-bd6b-47c9-b7dd-338c38ce91ce`. Confidence: reported (aggregated from official New York legislature records).