# 119-s-4927: Rural Hospital Emergency Room Guarantee Act

119-s-4927, Rural Hospital Emergency Room Guarantee Act, is a 119th Congress bill sponsored by Sen. Hawley, Josh [R-MO] (R-MO); status introduced; PRIA reads it as touching household money (as of 2026-07-17).

- Canonical: https://policyrisk.com/legislation/119-s-4927
- As of: 2026-07-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-4927
- Congress: 119
- Title: Rural Hospital Emergency Room Guarantee Act
- Status: introduced
- Introduced: 2026-06-24
- Sponsor: Sen. Hawley, Josh [R-MO] (R-MO)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-17

## Summary

**Creates a dedicated federal fund to guarantee emergency room funding for rural hospitals.** This bill would set up a 10-year program, run by HRSA, that pays eligible rural 24-hour emergency departments a base annual payment, CPI adjustments, need-based supplements, and short-term emergency grants.

## Cosponsors (1)

- Sen. Hassan, Margaret Wood [D-NH] (D-NH), 2026-06-24T00:00:00.000Z

## Provisions PRIA read

- Direct payments to rural ERs: benefit, high. If enacted, approved rural emergency departments would get a $1,000,000 base payment in the first program year. That payment would be paid in four equal quarterly amounts. In later years the base payment would change each year with the Medical Care Services Consumer Price Index for the prior 12 mon…
- New 10-year rural ER fund: benefit, medium. If enacted, the bill would create a Rural Hospital Emergency Room Guarantee Fund in the Treasury and a 10-year payment program. The Health Resources and Services Administration would run the program and must start taking applications within 90 days of enactment. Congress would authorize and appropr…
- Who qualifies and how money can be used: mixed, low. If enacted, only rural health facilities that participate in federal health programs and operate a 24-hour hospital emergency department or a 24-hour independent freestanding ED could apply. The Secretary would have to approve qualifying applications within 30 days and approvals would last the 10-y…

## Related bills

- 119-s-1748: Kids Online Safety Act
- 119-s-237: Honoring Our Fallen Heroes Act of 2025
- 119-s-4429: Connected Vehicle Security Act of 2026
- 119-s-2398: Kay Hagan Tick Reauthorization Act
- 119-s-2169: Rural Hospital Cybersecurity Enhancement Act
- 119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025

## Sources
- [119-s-4927 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/4927)

## Related
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-237: Honoring Our Fallen Heroes Act of 2025](https://policyrisk.com/legislation/119-s-237)
- [119-s-4429: Connected Vehicle Security Act of 2026](https://policyrisk.com/legislation/119-s-4429)
- [119-s-2398: Kay Hagan Tick Reauthorization Act](https://policyrisk.com/legislation/119-s-2398)
- [119-s-2169: Rural Hospital Cybersecurity Enhancement Act](https://policyrisk.com/legislation/119-s-2169)
- [119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-s-1816)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-4927 (as of 2026-07-17).