119-hr1191

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Supporting Access to Rural Community Hospitals Act of 2025

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Introduced:
Feb 11, 2025
Policy Area:
Health

Bill Statistics

3
Actions
1
Cosponsors
1
Summaries
5
Subjects
1
Text Versions
Yes
Full Text

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Latest Action

Feb 11, 2025
Referred to the House Committee on Ways and Means.

Summaries (1)

Introduced in House - Feb 11, 2025 00
<p><strong>Supporting Access to Rural Community Hospitals Act of 2025</strong></p><p>This bill temporarily allows additional hospitals to qualify as critical access hospitals (CAHs) that receive special payment under Medicare.</p><p>Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (or 15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area. Hospitals also must meet certain size and service requirements, including having no more than 25 acute care inpatient beds.</p><p>The bill allows, for one year, hospitals that are participating in the Rural Community Hospital Demonstration Program to also qualify as CAHs. (The program tests the feasibility&nbsp;of cost-based reimbursement for small rural hospitals that are too large to qualify as CAHs.)</p>

Actions (3)

Referred to the House Committee on Ways and Means.
Type: IntroReferral | Source: House floor actions | Code: H11100
Feb 11, 2025
Introduced in House
Type: IntroReferral | Source: Library of Congress | Code: Intro-H
Feb 11, 2025
Introduced in House
Type: IntroReferral | Source: Library of Congress | Code: 1000
Feb 11, 2025

Subjects (5)

Health (Policy Area) Health care coverage and access Hospital care Medicare Rural conditions and development

Cosponsors (1)

(R-NE)
Feb 11, 2025

Text Versions (1)

Introduced in House

Feb 11, 2025

Full Bill Text

Length: 2,518 characters Version: Introduced in House Version Date: Feb 11, 2025 Last Updated: Nov 15, 2025 2:13 AM
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1191 Introduced in House

(IH) ]

<DOC>

119th CONGRESS
1st Session
H. R. 1191

To amend title XVIII of the Social Security Act to waive certain
distance requirements for certain hospitals electing to be designated
as critical access hospitals.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

February 11, 2025

Mr. Flood (for himself and Mr. Smith of Nebraska) introduced the
following bill; which was referred to the Committee on Ways and Means

_______________________________________________________________________

A BILL

To amend title XVIII of the Social Security Act to waive certain
distance requirements for certain hospitals electing to be designated
as critical access hospitals.

Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1.

This Act may be cited as the ``Supporting Access to Rural Community
Hospitals Act of 2025''.
SEC. 2.
ELECTING TO BE DESIGNATED AS CRITICAL ACCESS HOSPITALS.

(a) In General.--
Section 1820 (c) (2) (B) (i) of the Social Security Act (42 U.
(c) (2)
(B)
(i) of the Social Security
Act (42 U.S.C. 1395i-4
(c) (2)
(B)
(i) ) is amended--

(1) in subclause
(I) , by striking ``or'' at the end;

(2) in subclause
(II) , by adding ``or'' at the end; and

(3) by adding at the end the following new subclause:
``
(III) with respect to
designations occurring during the 1-
year period beginning on the date that
is 6 months after the date of the
enactment of this subclause, is a rural
community hospital (as defined in
subsection

(f) of
section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003) that was participating in the demonstration program established under such section as of such date of enactment.
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003) that was participating in the
demonstration program established under
such section as of such date of
enactment.''.

(b) Conforming Amendments.--
Section 410A (f) (1) (A) (iv) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (42 U.

(f)

(1)
(A)
(iv) of the
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
(42 U.S.C. 1395ww note) is amended by striking ``is not'' and all that
follows through the period and inserting ``is not a critical access
hospital (as defined in
section 1861 (mm) (1) of the Social Security Act).
(mm) (1) of the Social Security
Act).''.
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