RI H7272

Requires birthing centers to obtain prior written approval from the Rhode Island Department of Health Director before closing, relocating, or significantly reducing services (defined as 25% or more reduction in capacity, volume, or operating hours)

Mandates facilities file a closure application at least 180 days before the proposed closure date, with notice to local government, patients, staff, EMS agencies, media, and legislative leaders

Requires comprehensive closure applications including access impact assessments, patient transition plans, workforce plans, and five years of audited financial statements certified by a CPA for the facility and parent health system

Establishes public hearings within 60 days of notice and 30 days of application submission, with the Director required to issue a written decision within 90 days approving, denying, or conditionally approving the closure

Imposes civil penalties up to $25,000 per violation for noncompliance, with each day of noncompliance constituting a separate violation