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---
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).