Albany County explores options for coroner and medical examiner services reform

Albany County is considering significant changes to its death investigation system, as discussions during the Albany Law Committee Meeting on March 26, 2025, highlighted the challenges and potential solutions for the county's coroner's office. The meeting featured a presentation by Faye Betters, the data analytics and performance management coordinator, who outlined the current state of the coroner's office and the increasing demand for autopsy services.

Albany County currently operates under a coroner model, which is becoming less common in New York State. Betters noted that Albany is one of the largest counties still using this model, while many others have transitioned to medical examiner offices. The county's autopsy rate has been rising, with 396 cases reported in 2023, leading to a 44% increase in the coroner's budget for laboratory fees and services for the upcoming year.

The meeting explored various options for addressing the growing needs of the coroner's office, including maintaining the current structure, partnering with local hospitals, or transitioning to a medical examiner model with a regional autopsy facility. The latter option could potentially generate revenue by serving neighboring counties, but it would require significant investment and legal considerations.

Betters emphasized the nationwide shortage of forensic pathologists, which complicates the situation further. The county is exploring the feasibility of a county-owned facility, which could enhance service quality and efficiency. A recent study by Warren County indicated that a regional forensic center could cost around $27 million to establish, with annual operational costs ranging from $2 to $3 million.

As Albany County weighs its options, the discussions signal a critical juncture for the future of death investigations in the region. The decisions made in the coming months will have lasting implications for the county's ability to effectively manage autopsy services and meet the needs of its residents.