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119-hr-1775119th CongressWALLET

Second Chances for Rural Hospitals Act

Sponsored By: Representative Arrington, Jodey C. [R-TX-19]

Introduced

Summary

Allows certain previously closed rural hospitals to become Rural Emergency Hospitals (REHs) to revive local emergency care. It would open an enrollment pathway for facilities that used to be critical access hospitals or rural subsection (d) hospitals and then stopped operating.

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Bill Overview

Analyzed Economic Effects

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

Some closed rural hospitals could reopen

This bill would let some closed rural hospitals enroll as Rural Emergency Hospitals under Medicare starting Jan 1, 2027. To qualify, the facility must have been a critical access hospital or a general hospital in a rural county at any time from Jan 1, 2014 through Dec 26, 2020, and must have closed by the date of enactment. These facilities would skip certain action-plan steps and a prior enrollment rule. If the applying facility is within 35 miles of the nearest hospital, it would not get a Medicare payment increase. If it is within 10 miles, a related payment rule would also not apply.

Sponsors & CoSponsors

Sponsor

Arrington, Jodey C. [R-TX-19]

TX • R

Cosponsors

  • Rep. Tokuda, Jill N. [D-HI-2]

    HI • D

    Sponsored 3/3/2025

  • Rep. Pfluger, August [R-TX-11]

    TX • R

    Sponsored 3/3/2025

  • Rep. Thompson, Bennie G. [D-MS-2]

    MS • D

    Sponsored 3/6/2025

  • Rep. Smith, Adrian [R-NE-3]

    NE • R

    Sponsored 3/14/2025

  • Rep. Estes, Ron [R-KS-4]

    KS • R

    Sponsored 3/14/2025

  • Rep. Stansbury, Melanie A. [D-NM-1]

    NM • D

    Sponsored 5/6/2025

  • Rep. Sessions, Pete [R-TX-17]

    TX • R

    Sponsored 7/10/2025

  • Rep. Moran, Nathaniel [R-TX-1]

    TX • R

    Sponsored 12/16/2025

  • Rep. Miller, Carol D. [R-WV-1]

    WV • R

    Sponsored 3/16/2026

Roll Call Votes

No roll call votes available for this bill.

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