S 5164 United States Senate · 119th Congress

Rural Emergency Hospital Designation Improvement Act

The Rural Emergency Hospital Designation Improvement Act expands eligibility for facilities to convert into rural emergency hospitals by relaxing certain operational requirements and clarifying rules for units providing psychiatric, rehabilitation, or obstetric care. It establishes a new payment structure that increases reimbursement by 5 percent for diagnostic laboratory tests starting in 2027 and allows these hospitals to use swing beds for extended care services. The legislation also ensures that rural emergency hospitals are recognized as health professional shortage areas to attract medical staff and includes their services in Medicaid coverage plans. Additionally, the bill permits facilities that revert to critical access hospital status to regain their previous necessary provider designation and makes them eligible for specific improvement grants.
Bill status in committee 1 of 4 stages cleared
Introduction
Jul 2026
Committee Review
Floor Vote
President
Introduced Jul 29, 2026 Last action Jul 29, 2026
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Total actions
2
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Committee
1
Jul 29, 2026
Committee
Read twice and referred to the Committee on Finance.
upper
Jul 29, 2026
Introduced
Introduced in Senate
upper
1 primary · 6 co-sponsors

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