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Historic Investment in Downstate

As New York City’s only public academic medical center, SUNY Downstate Hospital has provided Central Brooklyn with vital healthcare services for the last 160 years while training generations of a diverse, world-class healthcare workforce as the teaching hospital to SUNY Downstate Medical University.

However, SUNY Downstate Hospital has faced years of financial instability – including an annual operating shortfall of over $100 million – and continues to grapple with a facility in disrepair.

Governor Hochul Commits Nearly $1 Billion for SUNY Downstate Transformation

To address these challenges, Governor Hochul and the state legislature announced a historic investment in SUNY Downstate in the fiscal year 2025 Enacted Budget, including $300 million in capital funding and $100 million in operating funding to close the deficit. In addition to the fiscal year 2025 investments, Governor Hochul announced another $450 million in capital funding and $100 million in operating support for SUNY Downstate in her fiscal year 2026 Executive Budget, bringing the total commitment to $750 million in capital funding and $200 million in operating support for the facility.

To create recommendations utilizing the up to $750 million capital investment, Governor Hochul and the state legislature created a community advisory board in the 2025 Enacted Budget to establish a reasonable, scalable, and fiscally responsible plan for the financial health, viability and sustainability of SUNY Downstate. The Downstate Community Advisory Board must complete a study considering multiple factors, conduct community outreach, and submit written recommendations to the Governor and Legislature by April 1, 2025. Click the “Downstate Community Advisory Board” page for more information.