HR5198119th CongressWALLET

Rural Health Clinic Location Modernization Act of 2025

Sponsored By: Representative Mann

Introduced

Summary

Rewrites the Census-based geography that decides where a Medicare Rural Health Clinic can be located. The bill would replace the current reference to an "urbanized area" with an "urban area (as defined by the Bureau of the Census) with a population of 50,000 or more" for RHC eligibility, effective January 1, 2027.

Show full summary
  • Rural Health Clinics: Clinics would be re-evaluated under the new Census definition, which could change which sites meet Medicare RHC location rules.
  • Patients and communities: People in small towns and surrounding areas could see local clinics gain or lose RHC status, which may affect access to Medicare-covered services.
  • Medicare program: Medicare would apply the new Census geography to RHC qualification beginning Jan 1, 2027, while keeping all other RHC eligibility criteria unchanged.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

New location test for Medicare rural clinics

The bill would update how Medicare decides if a clinic is in a rural place. It would use the Census term "urban area" with a population of 50,000 or more. Some clinics could newly qualify as Rural Health Clinics, and others could lose RHC status. That could change clinic payments and local access to RHC services. The change would start January 1, 2027.

Sponsors & CoSponsors

Sponsor

Mann

KS • R

Cosponsors

  • Tokuda

    HI • D

    Sponsored 9/8/2025

  • Zinke

    MT • R

    Sponsored 9/8/2025

  • Ciscomani

    AZ • R

    Sponsored 9/8/2025

  • Johnson (GA)

    GA • D

    Sponsored 9/8/2025

  • Fields

    LA • D

    Sponsored 9/8/2025

  • Mannion

    NY • D

    Sponsored 9/8/2025

  • Thompson (MS)

    MS • D

    Sponsored 9/8/2025

  • Costa

    CA • D

    Sponsored 9/8/2025

  • Baird

    IN • R

    Sponsored 9/8/2025

  • Graves

    MO • R

    Sponsored 9/8/2025

  • Valadao

    CA • R

    Sponsored 9/8/2025

  • Pappas

    NH • D

    Sponsored 9/8/2025

  • Boebert

    CO • R

    Sponsored 9/8/2025

  • Smith (NE)

    NE • R

    Sponsored 9/8/2025

  • Figures

    AL • D

    Sponsored 9/9/2025

  • Vasquez

    NM • D

    Sponsored 9/10/2025

  • Vindman

    VA • D

    Sponsored 9/26/2025

  • Del. Moylan, James C. [R-GU-At Large]

    GU • R

    Sponsored 10/17/2025

  • Higgins (LA)

    LA • R

    Sponsored 10/17/2025

  • Budzinski

    IL • D

    Sponsored 10/31/2025

  • Balint

    VT • D

    Sponsored 12/9/2025

  • Neguse

    CO • D

    Sponsored 12/11/2025

  • Wilson (SC)

    SC • R

    Sponsored 12/15/2025

  • Stansbury

    NM • D

    Sponsored 12/18/2025

  • Kaptur

    OH • D

    Sponsored 1/7/2026

Roll Call Votes

No roll call votes available for this bill.

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