RI S2380

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

Mandates 180 days advance notice and a detailed closure application including access impact assessments, patient transition plans, workforce plans, and 5 years of audited financial statements for the facility and parent health system

Requires applicants to provide comparative analysis of at least 3 alternatives to closure and certify that neither the facility nor parent system engaged in actions contributing to financial instability

Establishes two public hearings with 21 days notice where facility officers must attend and community members may testify; Department of Health must issue decision within 90 days of the second hearing

Imposes civil penalties up to $25,000 per day of noncompliance and prohibits license amendments to remove birthing centers unless all requirements are fulfilled