NY A02365

Adds "hospital-sponsored off campus emergency department" to the legal definition of "hospital" under New York public health law, bringing these facilities under state regulatory oversight

Defines hospital-sponsored off campus emergency departments as emergency departments owned by a general hospital but located geographically separate from the hospital's main inpatient campus

Requires off campus emergency departments to operate 24 hours per day, 7 days per week, with exceptions allowing 12-hour minimum operation upon Public Health and Health Planning Council approval based on local circumstances

Mandates that off campus emergency departments meet the same standards as hospital-based emergency departments for provider training, staffing, services, and capacity to treat all patients regardless of ability to pay

Requires off campus emergency departments to have capacity for ground ambulance patients and establish transfer protocols with local EMS and hospital emergency departments for patients needing higher-level care