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119-hr-7514119th CongressWALLET

Rural Health Care Facilities Revitalization Act

Sponsored By: Representative Salinas, Andrea [D-OR-6]

In Committee

Summary

Preserve access to rural health services. This bill would let eligible rural hospitals, clinics, behavioral health centers, home health agencies, and long-term care facilities use certain USDA rural development funds to refinance debt, upgrade telehealth, or cover operating and reserve needs.

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  • Rural providers: Eligible facilities located in areas with 50,000 or fewer people could use community facility assistance or section 310B aid for debt refinancing, telehealth upgrades, or ancillary costs. The change would take effect 6 months after enactment.
  • High-need places: The Secretary may waive an application rule for insolvent facilities or those in persistent poverty areas, socially vulnerable communities, or distressed areas. "Persistent poverty area" means a 20%+ poverty rate across roughly 30 years.
  • Program limits: Assistance is allowed only if it helps preserve local services, meaningfully improves a facility's financial position, and meets the Rural Development Agency's feasibility and security requirements.

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Bill Overview

Analyzed Economic Effects

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

More help for rural health facilities

If enacted, this bill would let rural health care facilities use Rural Development assistance (under the agency's community facility or facility loan authorities) to refinance debt, update telehealth and online databases, or pay operating costs and reserve funds. Eligible facilities would include hospitals, behavioral health centers, health clinics (including mobile clinics), home health agencies, and long-term care facilities located in rural areas. The assistance could be used only if it would preserve local access to health services, meaningfully improve the facility's finances, and meet the agency's financial feasibility and security rules. The Secretary could waive a listed application requirement for insolvent facilities or facilities in persistent poverty, socially vulnerable, or distressed areas. The bill would define "persistent poverty area" and "rural area" and would take effect six months after enactment.

Sponsors & CoSponsors

Sponsor

Salinas, Andrea [D-OR-6]

OR • D

Cosponsors

  • Rep. Moolenaar, John R. [R-MI-2]

    MI • R

    Sponsored 2/11/2026

  • Rep. Tokuda, Jill N. [D-HI-2]

    HI • D

    Sponsored 2/11/2026

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

    GU • R

    Sponsored 2/11/2026

  • Rep. Hayes, Jahana [D-CT-5]

    CT • D

    Sponsored 9/16/2026

Roll Call Votes

No roll call votes available for this bill.

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