The proposed bill, General Assembly Proposed Bill No. 469, aims to enhance public health in the state by implementing several key restrictions and requirements regarding hospital ownership and operations. Specifically, the bill seeks to restrict the acquisition of hospitals by private equity firms, prohibit hospitals from participating in real estate investment trust transactions, and establish physician-led ownership requirements for medical groups and ambulatory surgical centers. These measures are intended to ensure that healthcare facilities remain focused on patient care rather than profit-driven motives associated with private equity and real estate investments. By enacting these changes, the bill emphasizes the importance of maintaining healthcare services that prioritize the needs of patients and communities. The proposed restrictions on private equity acquisitions and real estate transactions are designed to prevent potential conflicts of interest and ensure that medical groups and surgical centers are led by qualified physicians who are committed to providing quality care. Overall, the bill reflects a commitment to safeguarding public health and ensuring that healthcare remains accessible and patient-centered.