Hartford, CT - The Office of Health Strategy (OHS) issued a decision today approving Hartford HealthCare’s Emergency Certificate of Need (CON) application (DN 25-32843-ECON) for the transfer of Manchester Memorial Hospital, including the Rockville campus and other assets. The decision comes 40 days after OHS deemed the application complete.
“The expedited decision ensures continuity of care for Eastern Connecticut residents, while imposing specific conditions designed to ensure preservation of healthcare access and quality and control cost growth,” said Acting Commissioner Amy Porter. “The OHS staff conducted a rigorous and highly efficient process made possible by the emergency CON statute.”
The decision imposes conditions on the transfer of ownership that are designed to address potential areas of concern OHS identified with the transaction. Among other things, these conditions require the Hartford HealthCare subsidiary purchasing the hospital to:
- Provide an initial assessment of the condition of Manchester Memorial Hospital and the Rockville campus, as well as a strategic integration plan, within nine months
- Engage the community in both strategic planning and community health needs assessment (CHNA) processes within nine months
- Maintain services offered under the Manchester Memorial Hospital license, which includes the Rockville campus, for the later of three years from the closing of the transaction or 90 days after the publication of the second CHNA, including current labor and delivery and intensive care services
- Maintain service levels unless OHS grants prior approval for reductions
- Notify OHS within 30 days of any reallocation of inpatient beds or relocation of outpatient services
In addition, the conditions require preservation of a 24/7 Emergency Department in the town of Vernon, for at least three years and maintenance of the full complement of inpatient behavioral health services at or within 30 miles of the Rockville campus.
“This is a positive outcome to an initially challenging situation,” said Governor Lamont. “Ensuring quality services remain both accessible and affordable for our families and communities has always been one of my top priorities, and I am very happy that Hartford HealthCare has made this commitment to Manchester, Vernon and the surrounding communities.”
The Emergency CON decision also features conditions designed to slow cost growth. They require that the Hartford HealthCare subsidiary purchasing the hospital:
- Adopt all existing reimbursement rates with healthcare payers
- Negotiate future rates for Manchester Memorial Hospital separately from other hospitals in the Hartford HealthCare system
- Constrain growth in commercial reimbursements and tie negotiated rates to the Cost Growth Benchmark and the Consumer Price Index for Medical Care in New England (CPI-U Medical)
- Maintain existing ECHN outpatient, non-hospital physician offices, or any offices resulting from future acquisitions, without converting to hospital-based status for billing or reimbursement purposes for a period of three years
The Connecticut Office of the Attorney General and Department of Public Health also have regulatory oversite of components of this transaction. Additional conditions may be imposed by one or both of these entities.
OHS worked closely with the Governor’s office to establish an Emergency CON process in anticipation of the State’s need to address the situation created by Prospect Medical Holdings’ declaration of bankruptcy. Legislation passed and was signed by Governor Lamont as part of Public Act 25-2 on March 3, 2025, and became effective upon passage.
This decision represents the first completed Emergency CON. The University of Connecticut Health Center filed an Emergency CON application (DN 25-32853-ECON) related to the transfer of ownership of Waterbury Hospital and related assets on December 5, 2025. A public hearing related to that docket has been scheduled for December 19, 2025. The application filing was submitted by the University of Connecticut Health Center Finance Corporation and the UCHCFC Waterbury Health Corporation.
All Emergency CON application documents, including today’s decision, may be found online through the CON Portal. Search 32843 under docket number for the Hartford HealthCare application and 32853 for UCONN Health’s application.
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