1. Short title This Act may be cited as the Protecting Communities from Hospital Closures Act of 2020 . 2. Hospital closings (a) In general Part C of title III of the Public Health Service Act ( 42 U.S.C. 248 et seq.) is amended by adding at the end the following: 327B. Hospital closings (a) Notice requirement (1) Requirement A hospital shall provide written notice to the Secretary of a determination— (A) to close all or most of its units or departments (in this section referred to as a general hospital closing ); or (B) to close an emergency treatment unit or department, a labor and delivery unit or department, or any other type of unit or department that the Secretary determines, by regulation, might significantly impact the health and welfare of an affected community such that advanced notice and planning is warranted (in this section referred to as a significant impact unit closing ). (2) Timing A hospital shall give notice required by paragraph (1)— (A) upon making a determination to close described in such paragraph; and (B) in no event less than 180 days from the anticipated date of the closing. (b) Prohibition against closing except pursuant to closure plan (1) Prohibition A hospital shall not close any unit or department as part of a general hospital closing or a significant impact unit closing except pursuant to a written closure plan that has been approved by the Secretary with respect to such unit or department. (2) Approval standard The Secretary shall approve a closure plan with respect to the closing of a unit or department only if the Secretary determines that the closure plan adequately addresses— (A) continuity of patient care