HR7514119th CongressWALLET

Rural Health Care Facilities Revitalization Act

Sponsored By: Representative Salinas

Introduced

Summary

Creates a new Rural Development financing authority to assist distressed rural health care facilities. The bill would let eligible rural hospitals, behavioral health centers, clinics including mobile units, home health agencies, and long-term care facilities use Rural Development loans and grants to refinance debt, upgrade telehealth and online systems, and cover operating costs or reserve funds.

Show full summary
  • Families and patients in small towns could keep local health services available because assistance must help preserve access in areas with 50,000 people or fewer.
  • Rural health providers could refinance debt, modernize telehealth or online databases, and use funds for operating expenses and reserve funds.
  • Distressed and insolvent facilities could get waived application rules if they are insolvent or located in persistent poverty areas, socially vulnerable communities, or distressed areas. Persistent poverty means a 20% or higher poverty rate across roughly 30 years.

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 eligible rural health care facilities use Rural Development loans or grants to refinance debt, upgrade telehealth and related equipment, or pay operating costs and reserve funds. Eligible sites would include rural hospitals, behavioral health centers, clinics (including mobile clinics), home health agencies, and long-term care facilities. Use would be allowed only if it preserves a health service in the rural community, meaningfully improves the facility’s financial position, and meets Rural Development financial feasibility and security rules. Six months after enactment, the Secretary could waive one application requirement for facilities that are insolvent or located in persistent poverty areas, socially vulnerable communities, or distressed areas. The bill defines a rural area as 50,000 people or fewer not next to a city over 50,000, and a persistent poverty area as about 30 years with a 20% poverty rate or higher.

Sponsors & CoSponsors

Sponsor

Salinas

OR • D

Cosponsors

  • Moolenaar

    MI • R

    Sponsored 2/11/2026

  • Tokuda

    HI • D

    Sponsored 2/11/2026

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

    GU • R

    Sponsored 2/11/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov

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