Plan Aims to Modernize the Hospital and Preserve All Inpatient and Outpatient Services in Central Brooklyn
Governor Kathy Hochul today was joined by local officials, SUNY Downstate leadership, community leaders and labor and hospital groups to celebrate the historic $1 billion investment in SUNY Downstate’s hospital. Listening to the community’s input , the SUNY Downstate Advisory Board developed a plan to make infrastructure improvements and renovations that will modernize hospital care for this community.
“Every New Yorker deserves access to innovative, high-quality care,” Governor Hochul said. “This historic $1 billion investment into SUNY Downstate’s hospital will contribute to modernization and infrastructure efforts that will lead to a brighter future for this community.”
Governor Hochul worked with the Legislature to provide a historic capital investment in SUNY Downstate. The Governor championed $750 million in capital funding for SUNY Downstate’s hospital in the 2024-25 and 2025-26 Enacted State Budgets. The Governor directed SUNY to dedicate its anticipated $50 million annual capital allocations in each of the next seven years to bring the total investment to more than $1 billion.
This plan to make improvements to SUNY Downstate Hospital was developed by The SUNY Downstate Community Advisory Board, consisting of health care and community leaders who worked throughout the past nearly six months to gather input and ideas directly from the community to inform the proposal.
The Advisory Board’s report recommends:
- Retaining all current inpatient and outpatient services, including maternity and kidney transplant services
- Converting all double occupancy rooms to private rooms with showers and add additional rooms, resulting in 225 operational beds (with the goal of increasing the current 165 average daily census)
- Modernizing and expanding the emergency department to 45 stations
- Establishing and renovating dedicated inpatient specialty units for cardiology, oncology, and orthopedics
- Building a new hospital annex, including a state-of-the-art ambulatory surgery center that expands services in oncology and cardiology
- Addressing the mechanical, electrical, and plumbing infrastructure issues that have resulted in repeated system failures
- Improving leadership and operations to work towards operational sustainability
After gathering public and stakeholder input over many months, the approach recommended by the advisory board was presented to the public as an option under consideration at the fourth public hearing on April 28. Materials from the public hearings are available here.
Last year, SUNY Downstate’s hospital faced a $100 million annual deficit and was at risk of being unable to operate without additional funding, while contending with a hospital facility in disrepair and vulnerable to major crises, including recent major infrastructure incidents.
SUNY Chancellor John B. King Jr. said, “Governor Hochul is making a historic investment in SUNY Downstate and Central Brooklyn, which will create a state-of-the-art, modern teaching hospital for generations of Brooklynites. This more than $1 billion investment, as part of a reasonable, scalable, and fiscally responsible plan, will ensure SUNY Downstate’s hospital moves forward and maintains all essential inpatient and outpatient services, as it expands to continue serving the needs of the community.”
The advisory board’s task was to consider recommendations to establish a reasonable, scalable and fiscally responsible plan for the financial health, viability, and sustainability of SUNY Downstate within a range of available funds. Over the course of their deliberations, the advisory board:
- Held four public hearings (one more than statutorily required) on January 22, February 27, March 13, and April 28, with two in Community Board #9 and two in Community Board #17
- Met with numerous community stakeholders including the SUNY Downstate Medical School Department Chairs, the Brooklyn for Downstate advocacy group (twice), the leadership at SUNY Downstate, and other regional health care providers
- Carefully reviewed analysis of the community health needs (including the Brooklyn for Downstate data needs analysis and recommendations for the future of SUNY Downstate, the Community Health Needs Assessment 2022 prepared by the NYC Health & Hospitals, and the New York State Department of Health’s Study of Healthcare System Inequities and Perinatal Access in Brooklyn report), Downstate Hospital’s financials, and the condition of Downstate Hospital’s physical plant
- Engaged a team of consultants to provide expert analysis, infrastructure assessment, financial modeling, architectural and engineering scenarios, and coordination to independently assess the reasonableness of the financial modeling and identify options to reduce the ongoing operating deficit.
SUNY Downstate Health Sciences University President Dr. Wayne J. Riley said, “This plan represents an extraordinary investment in SUNY Downstate’s teaching hospital–University Hospital at Downstate–and a brighter future for our patients, students, faculty, and staff. I thank Governor Hochul, the Brooklyn legislative delegation, the SUNY Board of Trustees, Chancellor King, the faculty and staff of SUNY Downstate, and the faith leaders, labor organizations, and other community stakeholders who have worked together to envision a strong and achievable future for SUNY Downstate.”
The SUNY Board of Trustees said, “Governor Hochul has committed significant resources to ensure that SUNY Downstate can do more for the health and wellbeing of the Brooklyn community. We are grateful to the Governor, the Downstate Community Advisory Board, including SUNY Chancellor John King, as well as to Senior Vice Chancellor for Health and Hospital Affairs Valerie Grey, and all those who provided comments during this comprehensive review.”
New York State Health Commissioner Dr. James V. McDonald said, “This historic investment will transform the landscape of accessible, affordable health care services at SUNY Downstate Hospital for years to come. As a vital community hospital, SUNY Downstate has consistently led efforts to address health disparities and emerging health care needs of the New Yorkers it serves. With Governor Hochul’s investment and the support and collaboration of SUNY and the community, this investment will bring about sustainable improvements that will modernize the facility, ensuring the hospital has the capacity to deliver quality health care for years to come.”
SUNY Downstate Chair of the Department of Community and Family Health Dr. Enitza George, M.D., MBA, MSAI. said, “After six months of working with the DCAB members, I believe these recommendations truly reflect our commitment to listening to the community. We carefully considered what’s needed and balanced it with what’s possible given the current funding. I’m genuinely excited about what’s next—for Brooklyn as a whole and for Downstate in particular.”
“Every New Yorker deserves access to innovative, high-quality care. This historic $1 billion investment into SUNY Downstate’s hospital will contribute to modernization and infrastructure efforts that will lead to a brighter future for this community.”
Governor Kathy Hochul
SUNY Downstate Community Advisory Board Member Pastor Louis Hilton Straker Jr. said, “Reinvesting in Downstate will not only mean improved care, it will also mean a sense of safety and dignity for Central Brooklynites. Over the last year, we’ve seen how different voices and perspectives can enter a room and come together to deliver for our communities. Let Downstate serve as a sign of hope on what we can do when New Yorkers stand by each other and insist on solutions.”
SUNY Downstate Community Advisory Board Member Dr. Lesly Kernisant said, “In my decades of caring for Brooklyn patients, a simple fact is clear: modern facilities and comprehensive services lead to improved care. This investment in SUNY Downstate’s future–which includes vital support for maternal health care–marks an important moment in the collective effort to reduce health disparities and secure a better future for our community.”
Senate Majority Leader Andrea Stewart-Cousins said, “Securing this historic $1 billion investment in SUNY Downstate is a major victory for Brooklyn. It preserves critical services, modernizes the hospital, and reaffirms our commitment to equitable, high-quality care. SUNY Downstate is not only a vital healthcare provider, but a lifeline and anchor in Brooklyn. I’m proud that the Senate Majority worked closely with Governor Hochul to deliver the funding needed to fully revitalize this essential institution, and I applaud Senator Myrie and all my Brooklyn colleagues whose tireless advocacy made this moment possible.”
Senator Kevin Parker said, “This historic investment demonstrates the impact of government that truly listens to the people it serves. SUNY Downstate’s inpatient and outpatient services are not just critical—they are life-saving resources for thousands of Brooklyn residents. Preserving these essential programs while committing to their modernization and expansion is a bold affirmation of our community’s right to accessible, high-quality care. It reflects a deep and overdue investment in the health, dignity, and future of Central Brooklyn. I applaud Governor Hochul, Majority Leader Stewart-Cousins, Speaker Heastie, and the entire Brooklyn delegation for their leadership in securing this transformative win.”
Senator Roxanne J. Persaud said, “This historic investment in SUNY Downstate is not only a commitment to health equity but a powerful example of what happens when government truly listens to the community,” said Senator Roxanne J. Persaud. “Thanks to Governor Hochul’s leadership and the tireless work of the Community Advisory Board, we now have a fiscally responsible plan to modernize Downstate Hospital and ensure it remains a pillar of care, education, and opportunity in Central Brooklyn for generations to come.”
Senator Zellnor Myrie said, “Last year, Central Brooklyn fought back against a proposal that would have closed SUNY Downstate and sent its patients elsewhere for care. Instead, we secured a commitment to invest in Downstate’s future, modernizing its facilities and preserving its services. I am grateful to the Advisory Board members for their work, to the community for demanding world-class healthcare, and to the Governor and SUNY Chancellor for committing to implement these recommendations. Downstate has been there for Central Brooklyn in our hour of need, and we will always work to protect and strengthen Downstate.”
Senator Kristen Gonzalez said, “For decades, marginalized communities have been forced to accept crumbling infrastructure and underfunded care. This $1 Billion investment in SUNY Downstate is a people-powered win, driven by community voices, labor, and public health advocates fighting for what we deserve: high-quality, publicly funded care that puts patients and workers first. Thank you to the Governor for her work with the Advisory Board and her commitment to increasing funding for healthcare access with our state legislature. We look forward to seeing shovels in the ground.”
Assemblymember Maritza Davila said, “I commend Governor Hochul for this historic $1 billion investment in SUNY Downstate Hospital. This commitment ensures that Brooklyn retains access to critical inpatient and outpatient services while advancing health equity through long-overdue infrastructure upgrades. As teaching hospital that provides staffing for hospitals all over Brooklyn and beyond, it is vital to keep SUNY Downstate as a full-service hospital.”
Assemblymember Rodneyse Bichotte Hermelyn said, “SUNY Downstate was founded 165 years ago, and served as a vital healthcare institution and safety-net hospital, helping over 300,000 Brooklynites annually, regardless of their ability to pay. In recent years, our borough’s only academic medical center kept trying to provide innovative, high-quality-care for all, while its 19th century infrastructure crumbled; putting the Downstate Hospital in serious peril; while leaving our most vulnerable constituents with next-to-nothing for healthcare. Gov. Hochul took decisive action, when other leaders swept this problem under the rug, and worked with the Brooklyn Delegation and our communities to deliver a one billion-dollar solution ensuring a bright future for SUNY Downstate and the Brooklynites who depend on it. Thank you to the Advisory Board for providing a blueprint to revitalize SUNY Downstate into a world-class, state-of-the-art health center that will truly save the lives of Brooklynites today and for decades to come.”
Assemblymember Jo Anne Simon said, “The historic $1 billion investment in SUNY Downstate ensures what the community has long fought for: a full-service state hospital that meets the needs of the people it serves. I’m proud that community leaders, along with the Downstate Advisory Board and Governor Hochul, shaped a plan that centers around patient care, preserves vital services, and invests in health equity. This is a critical step forward, and we will continue working to ensure that the voices of patients, workers, and neighbors remain at the forefront.”
Assemblymember Latrice Walker said, “The release of the Downstate Community Advisory Board’s proposal for the reinvestment of more than $1 billion is a victory for the entire Central Brooklyn community, including the constituents of my district who rely on SUNY Downstate Hospital. I’d like to thank all the people who have fought so hard to get us to this point. That includes advocates, lawmakers, union leaders, and members of the faith and medical communities. And, of course, we would not be at this critical juncture without the leadership of Gov. Kathy Hochul and SUNY Chancellor John King. The proposal, which follows months of community input, retains kidney transplant and maternity services – which are priorities for my community, as we battle high rates of diabetes and fight for better Black maternal health outcomes. I look forward to the modernization of the emergency department, infrastructure upgrades and many other improvements stemming from the proposal. We have collectively struck a decisive blow in the ongoing effort to combat health disparities in Brooklyn communities of color. The quality of one’s care should not be determined by zip code.”
Assemblymember Jamie Williams said, “I’m glad to see the governor securing an additional $1 billion for SUNY Downstate’s Hospital. This critical investment will allow for much-needed infrastructure repairs and upgrades, and support for the wide variety of programs SUNY Downstate offers patients throughout New York City. I applaud the governor and look forward to seeing the benefits this investment in our healthcare system will have on our communities.”
Assemblymember Robert Carroll said, “I was proud to join my colleagues in voting to invest in SUNY Downstate in the State’s budget and commend Governor Hochul for the commitment of $1 billion in total as recommended by the SUNY Downstate Advisory Board. With this investment we are ensuring the modernization and sustainability of this institution, which is vital to the health and wellbeing of Brooklyn’s diverse communities and an important center for medical education and research.”
Assemblymember Stefani Zinerman said, “This $1 billion investment in SUNY Downstate will help close longstanding health equity gaps, preserve critical medical services, and strengthen a trusted institution that trains the next generation of healthcare professionals,” said Assemblymember Stefani L. Zinerman (56th District). “Central Brooklyn owes a debt of gratitude to the unions, healthcare workers, clergy, and community leaders who fought tirelessly for a plan that will serve our families for generations to come.”
Assemblywoman Nikki Lucas: “After years of advocacy and demonstrations I am proud of the results my colleagues and I working with Governor Hochul and the many community advocates were able to bring to Downstate Medical Center. I applaud Governor Hochul for this $1 billion investment and the historical restoration of over 200 beds. Serving my constituents and those of central Brooklyn, Downstate deserved an Investment that is designed for the long-term success for a health provider which is what was delivered. These negotiations were hard but aligned minds made the difference for the health of our constituents.”
Assemblymember Brian Cunningham said, “This is what it looks like when government shows up for neighborhoods too often left behind. This $1 billion reinvestment in SUNY Downstate reflects the power of advocacy, partnership, and persistence. I am proud to have stood alongside Governor Hochul and the community to help deliver the resources this hospital has needed for far too long.”
Assemblymember Monique Chandler-Waterman said, “For decades, SUNY Downstate’s University Hospital has served as a lifeline—providing critical care, training for our next generation of healthcare professionals, and anchoring the wellbeing of communities that have historically been underserved, but this historic investment will shift the trajectory for healthcare in our state, in unprecedented ways. With this investment, we are making a bold commitment in people and in the future of our public health system, while providing access that transcends zipcodes. Thank you to Governor Hochul for working with us to secure an allocation of over $1 billion to support significant infrastructure improvements and the overall modernization of this institution that we have advocated for, for much time.
New York City Council Member Farah N. Louis said, “I wholeheartedly applaud Governor Hochul for this historic and transformative $1 billion investment in SUNY Downstate Medical Center—a bold commitment that demonstrates extraordinary leadership and responsiveness to the urgent needs of Central Brooklyn residents. Knowing that this funding will restore full inpatient and outpatient care over 200 beds is a massive achievement in our fight to save this institution. As our community continues to advocate for a transformative and responsive investment, I am proud that our concerns were heard to bring modernized facilities and high-quality services to the working-class families of Central Brooklyn. Governor Hochul listened to the needs of our neighborhoods and I look forward to the strengthening of this essential institution.”
New York City Council Member Mercedes Narcisse said, “This $1 billion investment and the restoration of 225 beds are crucial steps in ensuring Downstate stays open and continues to serve our community. I am deeply grateful to Governor Hochul for her leadership and unwavering commitment to preserving this essential healthcare institution in Central Brooklyn. By implementing the majority of the Downstate Community Advisory Board’s recommendations, we are listening to those who know best and ensuring a brighter, healthier future for all who rely on Downstate.”
Bishop Orlando Findlayter said, “We’ve seen private hospitals across the city close or limit services in recent years, which has been a rising threat to the healthcare of New Yorkers in underserved communities. But thanks to leadership from the Governor and our local community, Downstate will ensure the long-term commitment of all existing inpatient and outpatient services, and will serve as a beacon of care and community.”
To review the Executive Summary Slides click here. For more information please visit downstateadvisoryboard.org/.
