SUNY Downstate says they have begun a dialogue with the New York City Fire Department to restore basic ambulance service to Long Island College Hospital.
SUNY has been under pressure to restore all services mandated by a court order.
The public advocate's office threatened strict stipulations on SUNY if they didn't comply.
Sources tell NY1 that SUNY's efforts to resume limited ambulance service are to comply with judicial orders.
A spokesman for SUNY says they are working to comply but must first make sure that they can staff the emergency department.
SUNY says that high costs are making it difficult to recruit doctors to staff the hospital.
SUNY Downstate has tried repeatedly to close LICH, claiming it's losing too much money.
The hospital's emergency room remains open.