# 119-hr-772: Rural ER Access Act

119-hr-772, Rural ER Access Act, is a 119th Congress bill sponsored by Rep. Green, Mark E. [R-TN-7] (R-TN); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-hr-772
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-772
- Congress: 119
- Title: Rural ER Access Act
- Status: introduced
- Introduced: 2025-01-28
- Sponsor: Rep. Green, Mark E. [R-TN-7] (R-TN)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Eliminates the 35-mile distance test for off-campus facilities seeking Medicare provider-based status.** The bill would require the Secretary of Health and Human Services to revise 42 C.F.R. § 413.65(e)(3)(i) within 60 days to remove the rule that an off-campus site must be within 35 miles of a hospital or critical access hospital campus to qualify for provider-based status. - Off-campus providers and hospitals: Facilities located more than 35 miles from a hospital or critical access hospital could seek provider-based status and be treated as hospital outpatient departments for Medicare payment. - Rural patients and families: Could see more local emergency options if off-campus ERs outside the 35-mile zone become eligible for hospital payment treatment. - Medicare administrators: The change removes the distance-based eligibility test and shifts how officials determine which off-campus sites qualify as provider-based.

## Provisions PRIA read

- More Medicare access for rural clinics: benefit, low. This bill would remove the Medicare rule that off-campus clinics must be within 35 miles of a hospital to be provider-based. The HHS Secretary would have 60 days after enactment to revise the regulation. If enacted, more rural clinics could seek hospital billing and local care options might become…

## Related bills

- 119-hr-137: TCJA Permanency Act
- 119-hr-2725: Affordable Housing Credit Improvement Act of 2025
- 119-hr-1229: United States-Israel Defense Partnership Act of 2025
- 119-hr-21: Born-Alive Abortion Survivors Protection Act
- 119-hr-2243: LEOSA Reform Act
- 119-hr-3631: VITAL Act of 2025

## Sources
- [119-hr-772 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/772)

## Related
- [119-hr-137: TCJA Permanency Act](https://policyrisk.com/legislation/119-hr-137)
- [119-hr-2725: Affordable Housing Credit Improvement Act of 2025](https://policyrisk.com/legislation/119-hr-2725)
- [119-hr-1229: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-hr-1229)
- [119-hr-21: Born-Alive Abortion Survivors Protection Act](https://policyrisk.com/legislation/119-hr-21)
- [119-hr-2243: LEOSA Reform Act](https://policyrisk.com/legislation/119-hr-2243)
- [119-hr-3631: VITAL Act of 2025](https://policyrisk.com/legislation/119-hr-3631)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-772 (as of 2025-12-21).