To amend title XVIII of the Social Security Act to adjust the eligibility for the rural emergency hospital designation under the Medicare program.

This bill adjusts Medicare eligibility rules for rural emergency hospitals. It expands eligibility to include off-campus emergency departments that operate as dedicated emergency services in rural counties, meeting specific federal definitions. Hospitals previously classified as outpatient departments could now qualify for Medicare payments if they maintained a dedicated emergency department in a rural area. The change modifies the Social Security Act to allow these facilities to be recognized under the rural emergency hospital designation program. This directly affects rural healthcare providers seeking Medicare reimbursement for emergency services.