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S3250119th CongressWALLET

Rural Hospital Flexibility Act of 2025

Sponsored By: Senator Hassan, Margaret Wood [D-NH]

Introduced

Summary

Strengthen and stabilize rural hospitals and emergency care. This bill would retool the Medicare Rural Hospital Flexibility program to give targeted help to critical access hospitals, rural emergency hospitals, and rural clinics while expanding outreach for rural residency positions.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Help to get rural residency positions

If enacted, the bill would require outreach about Medicare payments for direct graduate medical education (GME) costs. It would provide information on who is eligible for residency positions and help rural providers apply for those positions. Outreach would target critical access hospitals, rural hospitals by statute, hospitals in certain commuting-code areas, sole community hospitals and nearby sites, and rural emergency hospitals.

More grant help for small rural hospitals

If enacted, State Offices of Rural Health could apply for grants on behalf of eligible small rural hospitals. The bill would define which hospitals qualify and require grant money be split equally so each eligible hospital gets the same dollar share. Grants could pay for software, hardware, staff training on billing and quality, delivery system reforms, and help critical access hospitals convert to rural emergency hospitals. The Secretary could also award technical assistance and evaluation grants to groups that support these activities. The bill would extend the program's statutory timeframe but does not set total appropriation amounts.

Sponsors & CoSponsors

Sponsor

Hassan, Margaret Wood [D-NH]

NH • D

Cosponsors

  • Sen. Barrasso, John [R-WY]

    WY • R

    Sponsored 11/20/2025

  • Sen. Cortez Masto, Catherine [D-NV]

    NV • D

    Sponsored 11/20/2025

  • Sen. Blackburn, Marsha [R-TN]

    TN • R

    Sponsored 11/20/2025

Roll Call Votes

No roll call votes available for this bill.

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