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Legislative Threat to Hospital Sale-leasebacks

Legislative Threat to Hospital Sale-leasebacks

Key Questions

What new legislation has Connecticut passed on hospital sale-leasebacks?

Connecticut enacted the first-in-nation law banning hospital sale-leasebacks and adding private equity attestation requirements. The measure is part of a broader effort to restrict healthcare real estate transactions.

Which other states are pursuing similar hospital real estate restrictions?

Similar bills are advancing in Maine, Massachusetts, Washington, and additional states, according to a weekly hospital real estate briefing. Federal proposals, including Medicare payment restrictions, are also under consideration.

How do these laws affect REIT and NNN lease models?

The wave of legislation directly threatens REIT and syndication structures by limiting sale-leaseback activity. This creates a key risk factor when underwriting NNN stability and addressing investor concerns.

Connecticut passes first-in-nation law banning hospital sale-leasebacks and adding PE attestation requirements; a weekly briefing confirms similar bills in Maine, Massachusetts, Washington, and other states. Wave of state/federal bills (including Medicare payment restrictions) directly threatens REIT and syndication models. This is a critical risk factor for underwriting NNN stability and handling investor objections.

Sources (2)
Updated Jul 8, 2026