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Q&A

Council Member Wilson asks H&H how hospital exits affect capacity and tracking

New York City Council · Sep 23, 2026 · starts 1:12:03 · 1 min 42 sec

Carl Wilson asks how the city assesses capacity and mental health impacts when major hospital systems stop youth affirming care. Wallach says H&H monitors demand and capacity and stands ready to support all patients; Fattal says mental health capacity exists and gives the contact center number.

Tiffany L. Cabán

And with that, I'll pass it over to Councilmember Wilson.

Carl Wilson

Thank you, Chair.

Carl Wilson

Appreciate those comments.

Carl Wilson

Hi there.

Carl Wilson

Thank you for your testimony.

Carl Wilson

I have a, for H&H, when a major hospital system stops providing gender-affirming care for youth, how does the city assess the resulting impact on both

Carl Wilson

hospital capacity and the mental health of the affected patients and who is responsible for tracking those outcomes.

Andrew Wallach

Yeah, so I'll start and then I'll pass it over to Dr.

Andrew Wallach

Vital.

Andrew Wallach

And just to say, it's hard for us to comment on what the private hospitals are doing, but we stand, as we've said in our testimony, at the ready to fully support all patients in need of care, no exceptions.

Andrew Wallach

And so as part of any other type of care that New York City Health and Hospitals provides, whether it's cardiology or GYN services, we regularly monitor what that demand is, and we look at our capacity within our system, and we adjust

Andrew Wallach

what is available to patients.

Andrew Wallach

So it's no different for gender-affirming care, and it's something that we keep a close look at.

Omar Fattal

Yeah, exactly.

Omar Fattal

Same thing for mental health.

Omar Fattal

Our mission is to serve all New Yorkers without exception.

Omar Fattal

And I'm happy to say that we do have capacity in mental health right now.

Omar Fattal

We've made it very easy for New Yorkers who are looking for help to get it.

Omar Fattal

This is for all New Yorkers, including LGBTQ plus people.

Omar Fattal

One number, 1-844-NYC for NYC.

Omar Fattal

All they have to do is ask to be connected to behavioral services, and we can connect them to care.