Mallow General Hospital's emergency department is to close and emergency surgery will be moved to Cork University Hospital, according to the HSE South regional service plan.
The document, published this afternoon, says the casualty unit at Bantry General Hospital is to be replaced with a 12-hour, seven-day-a-week urgent care centre.
The 131-page plan references the "Small Hospital Framework" - a document that has yet to be published by the Government.
The HSE South says that the future of Mallow is secure and its emergency department will be replaced with an urgent care centre, comprising a local injury unit and a medical assessment unit.
Mallow will take on more day surgery from Cork city hospitals and will treat more patients.
This is due to happen by the end of the year.
The Bantry hospital changes will see acute surgery moved during the second quarter of the year and the casualty unit replaced during the third quarter.
According to the HSE service plan for Dublin North East, funding this year is down 3.5% on what acute hospitals spent last year.
In the Dublin Mid Leinster region, the plan says that funding is down by nearly €50m this year.
The hospitals facing the biggest percentage cuts are Naas General and St Vincent's University Hospital, both with budgets cut by nearly 5%.
The Health Service Executive is publishing regional service plans today for its four main service areas in 2013.
The plans will provide more detail on spending and savings for the HSE areas of Dublin Mid-Leinster, Dublin North East, South and West.
The HSE published the national service plan last month, which detailed how it will spend its budget of €13.4bn and make savings of over €721m.
The plan detailed extra cuts in primary care and staff numbers, as well as provision for more medical cards and extra funds for the cost of cancer drugs.
No manager can plan for a deficit and hospitals are being funded on the basis of their projected spend, rather than on historic budgets.
Elsewhere, IMPACT representatives concerned about the future of hospitals in Letterkenny and Sligo will meet TDs and Senators from Donegal and Sligo in Leinster House today.