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S1282119th CongressWALLET

Rural Development Hospital Technical Assistance Program Act of 2025

Sponsored By: Senator Mike Rounds

Introduced

Summary

This bill would create a USDA Rural Hospital Technical Assistance Program to provide tailored training and support that helps small-town hospitals improve finances, operations, and clinical systems. It focuses on practical development needs like construction, telehealth expansion, and electronic health record upgrades.

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  • Hospitals and rural providers: Eligible hospital facilities in areas of 50,000 people or fewer would get hands-on technical assistance and training to identify development needs and build action plans. The program would prioritize facilities that already borrow from or receive grants through USDA rural assistance programs.
  • Patients and communities: The bill aims to strengthen local health care delivery and reduce the risk of closures by supporting financial and operational improvements at rural hospitals and clinics.
  • USDA operations and access to funds: USDA would run the program directly or via grants and contracts and help facilities identify and apply for USDA loans and grants they qualify for.

*Would authorize up to $2.0 million per year for fiscal years 2025 through 2029 to carry out the program, increasing potential federal spending by that amount.*

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Technical help for rural hospitals

If enacted, the Secretary of Agriculture would create a Rural Hospital Technical Assistance Program. It would give tailored help and training to eligible rural hospitals and clinics. Help could include finance and operations plans, telehealth or electronic health record upgrades, and applying for USDA loans and grants. The Secretary would prioritize facilities that already have Rural Housing, Business, or Utilities loans or grants.

Up to $2M yearly for program

If enacted, the bill would authorize up to $2,000,000 per year for fiscal years 2025 through 2029 to carry out the rural hospital help program. Congress would still need to appropriate the funds.

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Sponsors & CoSponsors

Sponsor

Mike Rounds

SD • R

Cosponsors

  • Peter Welch

    VT • D

    Sponsored 4/3/2025

  • Sen. Heinrich, Martin [D-NM]

    NM • D

    Sponsored 12/3/2025

  • Katie Britt

    AL • R

    Sponsored 12/3/2025

  • Sen. Schiff, Adam B. [D-CA]

    CA • D

    Sponsored 12/4/2025

  • Cindy Hyde-Smith

    MS • R

    Sponsored 2/9/2026

Roll Call Votes

No roll call votes available for this bill.

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