NY Gen Mun L § 126-A (2021)
2021 New York Laws GMU - General Municipal Article 6 - Public Health and Safety 126-A - Joint Hospitals for Cities, Towns or Villages.

§ 126-a. Joint hospitals for cities, towns or villages.  Two cities in   the  same  county  or  adjoining  counties,  or  a  city and one or more   villages located within the same county or adjoining counties or two  or   more  villages  located  within the same county or adjoining counties or   two or more towns in the same county or adjoining counties or a city and   one or more towns located within the same county or  adjoining  counties   or  one  or  more towns and one or more villages (including a village or   villages within one or more of  such  towns)  located  within  the  same   county  or  adjoining counties, subject to approval at a general county,   town, city or village election in each of said counties,  towns,  cities   or  villages,  by  a majority of the voters qualified to vote and voting   upon the proposition therefor, may  jointly  acquire  real  property  by   purchase,  lease  or  condemnation  for  the purpose of this article and   establish,   construct,   equip,   maintain   and   operate   for   such   municipalities  jointly  in  accordance  with  the  provisions  of  this   article, a public general hospital for the care  and  treatment  of  the   sick,  and by appropriate resolution and subject to like approval by the   voters as provided in this section, any two cities, towns or villages as   above specified, may by  appropriate  action  of  the  governing  board,   create  a  joint  hospital  for  such cities, towns or villages as above   specified of any existing hospital, established,  constructed,  equipped   and operated by one of such cities, towns or villages and enlarge or add   thereto.The  ordinance,  local  law  or  resolution  providing  for such joint   action, either in the establishment of  a  new  joint  hospital  or  the   creation  of  a  joint  hospital  or  addition  thereto,  of one already   existing by one of such cities, towns, and villages, shall be adopted by   the  local  governing  board  of  a  city,  town  or  village  of   each   municipality  and  the  board  of  managers  as specified in section one   hundred twenty-seven hereof shall be composed of  members  appointed  by   the  supervisor  of the town, the mayor of the city, or the mayor of the   village of each of said cities, towns or villages in proportion  to  the   ratio of the assessed value of each of the cities, towns, or villages to   the  other;  or  in the event that any such city joins with an adjoining   town or towns, village or villages, to effectuate the purposes  of  this   section, and the proportion of cost, debt service and operating expenses   to  be  borne  by  each  such  municipality is fixed by agreement in the   aggregate in the ratio which the equalized assessed  valuation  of  each   such municipality bears to the total equalized assessed valuation of all   municipalities joining in such project, or is fixed by agreement so that   such   city   shall   bear   a  greater  proportion  and  the  remaining   participating municipalities a lesser proportion  thereof  respectively,   then the apportionment of the number of members of the board of managers   as  specified  in  section  one  hundred  twenty-seven  hereof  shall be   determined by the ratios established by such agreement.  The  ordinance,   local  law  or  resolution may specify matters as to which the action of   the board of trustees shall require the joint approval of such governing   bodies or boards. The ordinance, local  law  or  resolution  also  shall   prescribe the proportions of the cost of such project to be borne by the   municipalities  respectively, based upon the ratio of the assessed value   of each city, town or village to the whole. In a town, wholly or  partly   containing  a  village  or  villages joining with it for the purposes of   this section, the proportion of the cost of such project to be borne  by   such  town  may,  however,  be  based  upon  the ratio that the assessed   valuation of such town outside such village or  villages  bears  to  the   whole.  The  moneys  to  be paid shall be provided in the same manner as   hereinbefore prescribed in this article. The  ordinance,  local  law  or   resolution  of the governing board may be amended from time to time with    the concurrence of each of such governing board of each of said  cities,   towns  or  villages.  A  joint  hospital established under this article,   shall be within the county in which the city, town, or village,  or  one   of them is located.Whenever two or more cities, towns or villages shall establish a joint   hospital  as  herein  provided,  all  other  provisions  of this article   respecting hospitals, if applicable, shall apply to such joint hospital.Two or more cities, towns or villages as  hereinabove  specified,  may   under  the  provisions  of this article by appropriate resolution of the   respective boards of said city, town, or village, and  subject  to  like   approval  by  the  voters  as  provided in this section, provide for the   joint operation and management only of an already existing  hospital  in   one of such cities, towns or villages.In  the  event  that  a town and a village wholly contained within the   territorial limits of such town are joined  for  the  purposes  of  this   section,  the  proportion of the cost and debt service of the project to   be borne by the village and town may, by  written  agreement,  be  based   upon  the  following  ratios: (a) The proportion which the village shall   bear shall be based upon the ratio which the assessed valuation of  that   portion  of  the  town  lying  within  said  village  bears to the total   assessed valuation of the town; (b) The proportion which the town  shall   bear  shall be based upon the ratio which the assessed valuation of that   portion of the town lying  outside  such  village  bears  to  the  total   assessed  valuation  of  the  town.  Such  agreement  shall be made upon   authorization therefor by the governing boards of such town and  village   and  shall  be  executed  by  the supervisor and mayor, respectively, in   behalf of such town and village. Such agreed  proportion  of  cost,  and   debt  service  therefor,  to be borne by such village shall be raised by   taxation upon the real estate located within the  village.  Such  agreed   proportion  of cost, and debt service therefor, to be borne by such town   shall be raised by taxation on real estate located in the  town  without   the  territorial  limits  of  the  village.  The  assessed valuations of   property to be used in determining the above ratios shall be taken  from   the  latest assessment-roll of the town prior to the time such agreement   is entered into and as shown therein at the time of the  completion  and   filing  of  such  assessment-roll.  The  cost  of  operation of any such   hospital for which the cost and debt service has been  apportioned  upon   the  above  basis  shall  be  apportioned  annually  prior  to  December   thirty-first in each year for the next calendar year  and  in  the  same   manner  as  the  cost  of  the  project  as herein provided and for such   purpose the latest preceding town assessment-roll shall be used, and the   assessed valuations of property to be used shall be as shown therein  at   the  time  of  the  completion and filing thereof. In the event that any   such town and village join with an adjoining town or towns to effectuate   the purposes of this section, the proportion of cost, debt  service  and   operating  expense  to  be borne by such town and village may by written   agreement be fixed in the aggregate in the  ratio  which  the  equalized   assessed  valuation  of  such town bears to the total equalized assessed   valuation of all towns joining in such project.   The proportion  to  be   borne  by  the other town or towns shall likewise be determined upon the   basis of equalized assessed valuations. Any such agreement shall be made   upon authorization therefor by the governing boards of such village  and   towns and shall be executed by the mayor and supervisors of such towns.In  the event that any such city joins with an adjoining town or town,   village or villages, to effectuate the purposes  of  this  section,  the   proportion  of  cost,  debt service and operating expense to be borne by   each such municipality may, by agreement, be fixed in the  aggregate  in   the   ratio   which  the  equalized  assessed  valuation  of  each  such    municipality bears to the total  equalized  assessed  valuation  of  all   municipalities  joining  in  such project, or such written agreement may   provide that such city shall bear a greater proportion thereof  and  the   remaining  municipalities a lesser proportion thereof respectively to be   fixed  in  such  agreement.  Any  such  agreement  shall  be  made  upon   authorization  therefor  by  the governing boards of such municipalities   and shall be executed by the mayors of the city  and  villages  affected   and by the supervisors of the town affected.Equalized  assessed  valuations  shall  be  determined  from  the last   available equalization rates fixed  and  determined  by  the  state  tax   commission  and  in effect at the date of such written agreement, or, in   the case of the annual apportionment of operating expense, at  the  time   of such apportionment.