Commission on Health Care Facilities in the 21st Century

Implementation of the Report of the Commission

The New York State Department of Health has prepared a Report on Implementation of the Report of the Commission on Health Care Facilities in the Twenty-First Century for the U.S. Centers for Medicare and Medicaid Services.

Final Report

Download the Commission's final report

The Commission on Health Care Facilities in the 21st Century is a broad-based, non-partisan panel created by former Governor Pataki and the New York State Legislature to undertake a rational, independent review of health care capacity and resources in New York State. It was created to ensure that the regional and local supply of hospital and nursing home facilities is best configured to appropriately respond to community needs for high-quality, affordable and accessible care, with meaningful efficiencies in delivery and financing that promote infrastructure stability.


The mandate of the Commission is to consider and be sensitive to local needs throughout its deliberations. To ensure that the particular needs of each region will be fully considered, the Commission is comprised of 18 statewide members and 36 regional members (6 from each of six regions). In addition, the Commission will work with six Regional Advisory Committees (RACs). Each RAC is charged with issuing its own, non-binding recommendations for rightsizing the hospital and nursing home systems in its respective region.


The Commission will make final recommendations on rightsizing New York State's hospitals and nursing homes by December 1, 2006. These recommendations will include possible consolidation, closure, conversion, and restructuring of institutions, and reallocation of local and statewide resources. If the recommendations are approved by the Governor and the Legislature, they become law, and must be implemented by the Commissioner of Health.