# 119-hr-6804: Rural Hospital Flexibility Act of 2025

119-hr-6804, Rural Hospital Flexibility Act of 2025, is a 119th Congress bill sponsored by Rep. Miller, Carol D. [R-WV-1] (R-WV); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-6804
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6804
- Congress: 119
- Title: Rural Hospital Flexibility Act of 2025
- Status: introduced
- Introduced: 2025-12-17
- Sponsor: Rep. Miller, Carol D. [R-WV-1] (R-WV)
- Cosponsors: 4
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Expand and modernize federal grants to help rural providers transform care and shore up services like behavioral health and emergency access.** This bill would restructure the Medicare Rural Hospital Flexibility Program to fund State Offices of Rural Health, provide multi-year transformation grants, and offer technical help for rural emergency hospital conversion. - Families and patients: Would support local expansions of behavioral health, substance use disorder services, population health work, and improved quality reporting. These changes aim to keep more care available in rural communities. - Rural providers: Would create 5-year rural health transformation grants for critical access hospitals, rural health clinics, rural emergency hospitals, freestanding emergency departments, and related providers to try new care models and show sustainability. Grants can fund software, hardware, training, and delivery system reforms. - State Offices of Rural Health and technical assistance: Would shift many grants to State Offices of Rural Health and allow those offices and other entities to get funds proportional to their State’s share of eligible small rural hospitals. The bill also authorizes grants or cooperative agreements to give technical assistance and data analysis to hospitals seeking rural emergency hospital designation.

## Cosponsors (4)

- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-12-17T00:00:00.000Z
- Rep. Bishop, Sanford D. [D-GA-2] (D-GA), 2026-02-09T00:00:00.000Z
- Rep. Figures, Shomari [D-AL-2] (D-AL), 2026-04-16T00:00:00.000Z
- Rep. Thompson, Glenn [R-PA-15] (R-PA), 2026-09-10T00:00:00.000Z

## Provisions PRIA read

- Five-year transformation grants for rural providers: benefit, medium. If enacted, the Secretary would be able to award five-year transformation grants to State Offices of Rural Health and eligible rural providers. The grants would help providers move to new care models like rural emergency hospitals, extended stay clinics, freestanding emergency departments, rural he…
- State grants to improve rural hospitals: benefit, low. If enacted, State Offices of Rural Health would be able to apply for grants to help eligible small rural hospitals. Each State's award would be sized so it is proportional to that State's share of eligible small rural hospitals among States getting grants that year. Funds could buy computer softwar…
- Technical assistance for rural providers: benefit, low. If enacted, the Secretary would be able to award grants or cooperative agreements to entities that already have awards under this subsection so they can get technical help, data analysis, and evaluation. The Secretary could also award grants to entities that help hospitals seek or operate as rural…

## Related bills

- 119-hr-7567: Farm, Food, and National Security Act of 2026
- 119-hr-4669: FEMA Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-8791: IGNITE HBCU Excellence Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-7230: Buying American Cotton Act of 2026

## Sources
- [119-hr-6804 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6804)

## Related
- [119-hr-7567: Farm, Food, and National Security Act of 2026](https://policyrisk.com/legislation/119-hr-7567)
- [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-8791: IGNITE HBCU Excellence Act](https://policyrisk.com/legislation/119-hr-8791)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-7230: Buying American Cotton Act of 2026](https://policyrisk.com/legislation/119-hr-7230)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6804 (as of 2026-09-21).