Rural Health Sustainability Act

This bill amends the criteria for hospitals to qualify as "rural emergency hospitals" under Medicare. It changes the effective date for designation to January 1, 2014, and adds a new requirement: hospitals must have been designated as rural by the Health Resources and Services Administration's Office of Rural Health Policy. The change directly affects rural hospitals seeking or maintaining this specific Medicare designation. It modifies existing administrative rules without creating new funding or services. The bill is a technical adjustment to the eligibility process, not a new policy.