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S. 521 119th Congress Senate

Supporting Access to Rural Community Hospitals Act of 2025

Official title: 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.

Introduced: February 11, 2025 Introduced by: Deb Fischer Republican · Nebraska See on congress.gov
Health Health care coverage and accessHospital careMedicareRural conditions and development
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Feb 11, 2025
Read twice and referred to the Committee on Finance.
Feb 11, 2025
Introduced in Senate
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What's happening now February 11, 2025

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

Supporting Access to Rural Community Hospitals Act of 2025

This bill temporarily allows additional hospitals to qualify as critical access hospitals (CAHs) that receive special payment under Medicare.

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.

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 of cost-based reimbursement for small rural hospitals that are too large to qualify as CAHs.)

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
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APA
U.S. Congress. (2026). S. 521: Supporting Access to Rural Community Hospitals Act of 2025. 119th Congress. Open America. https://openamerica.io/bill/119-S-521/
MLA
"S. 521: Supporting Access to Rural Community Hospitals Act of 2025." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-S-521/.
Bluebook (legal)
S. 521, 119th Cong. (2026), https://openamerica.io/bill/119-S-521/.
Markdown link
[S. 521: Supporting Access to Rural Community Hospitals Act of 2025](https://openamerica.io/bill/119-S-521/)
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