# 119-hr-3684: Save America’s Rural Hospitals Act

119-hr-3684, Save America’s Rural Hospitals Act, is a 119th Congress bill sponsored by Rep. Graves, Sam [R-MO-6] (R-MO); status introduced; PRIA reads it as touching household money (as of 2026-09-10).

- Canonical: https://policyrisk.com/legislation/119-hr-3684
- As of: 2026-09-10
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3684
- Congress: 119
- Title: Save America’s Rural Hospitals Act
- Status: introduced
- Introduced: 2025-06-03
- Sponsor: Rep. Graves, Sam [R-MO-6] (R-MO)
- Cosponsors: 5
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-10

## Summary

**Stabilizes rural hospital finances and expands rural care options** by boosting Medicare payments for critical access and other rural hospitals, making several temporary payment rules permanent, and funding transformation grants to support new rural care models. The bill would also adjust cost sharing and certification rules to keep services available in low-volume and high-need areas.

## Cosponsors (5)

- Rep. Budzinski, Nikki [D-IL-13] (D-IL), 2025-06-03T00:00:00.000Z
- Rep. Huffman, Jared [D-CA-2] (D-CA), 2025-07-22T00:00:00.000Z
- Rep. Bergman, Jack [R-MI-1] (R-MI), 2025-10-21T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2025-12-18T00:00:00.000Z
- Rep. Ciscomani, Juan [R-AZ-6] (R-AZ), 2026-03-03T00:00:00.000Z

## Provisions PRIA read

- Grants and help for rural care: benefit, medium. If enacted, the bill would expand the Rural Hospital Flex program to give technical help and make grant funding more evenly distributed. It would also create 5-year rural health transformation grants to help providers move to new care models like rural emergency hospitals, extended-stay clinics, te…
- Stronger Medicare pay for rural hospitals: benefit, medium. If enacted, Medicare payments to many rural hospitals would be strengthened. The bill would exempt certain rural hospital payments from sequestration starting 60 days after enactment. It would raise bad-debt reimbursement by 15% for hospitals in rural areas for cost reporting periods starting more…
- Lowered CAH copays and access rules: benefit, low. If enacted, you would pay a new CAH outpatient copay formula for services paid under section 1834(g). For services in a year that begins more than 60 days after enactment, your copay would be 20% of the smaller of the hospital's actual charge or the hospital-equivalent payment basis. The bill would…

## Related bills

- 119-hr-4275: Coast Guard Authorization Act of 2025
- 119-hr-8870: BUILD America 250 Act
- 119-hr-9497: Water Resources Development Act of 2026
- 119-hr-4669: FEMA Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

## Sources
- [119-hr-3684 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3684)

## Related
- [119-hr-4275: Coast Guard Authorization Act of 2025](https://policyrisk.com/legislation/119-hr-4275)
- [119-hr-8870: BUILD America 250 Act](https://policyrisk.com/legislation/119-hr-8870)
- [119-hr-9497: Water Resources Development Act of 2026](https://policyrisk.com/legislation/119-hr-9497)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3684 (as of 2026-09-10).