New York ‘s 2014-2015 budget legislation opens the door for a two-year pilot program allowing private equity firms to own and operate healthcare facilities in the state. The proposed plan would allow for the participation of up to five for-profit corporations with affiliations with at least one academic medical center or teaching hospital, while publicly traded entities and private corporations with more than thirty-five stockholders would be prohibited from participating. The move would represent a shift away from the state’s traditional regulations, which have created a system where almost all hospitals have been operated by non-profit entities.