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Second Chances for Rural Hospitals Act
3/19/2025, 1:21 PM
Summary of Bill HR 1775
Currently, rural hospitals face unique challenges in providing emergency care to their communities. This bill seeks to address these challenges by modifying the criteria for designating rural emergency hospitals.
Specifically, the bill aims to expand the definition of a rural emergency hospital to include facilities that provide emergency care services on a 24/7 basis, have a designated emergency department, and are located in a rural area. Additionally, the bill seeks to provide flexibility for rural hospitals to meet the criteria for designation as a rural emergency hospital. This includes allowing hospitals to demonstrate their ability to provide emergency care services through alternative means, such as telemedicine or partnerships with other healthcare providers. Overall, the Rural Emergency Hospital Act aims to improve access to emergency care services in rural communities by making it easier for hospitals to qualify for designation as rural emergency hospitals.
Congressional Summary of HR 1775
Second Chances for Rural Hospitals Act
This bill allows additional hospitals to qualify as rural emergency hospitals (REHs) under Medicare.
In 2020, Congress established REHs as a new Medicare provider designation for hospitals in rural areas providing emergency department services, observation care, and other outpatient medical and health services for which the annual per patient average length of stay does not exceed 24 hours. These hospitals must have been open as of December 27, 2020, in order to qualify for the new REH designation.
The bill allows hospitals that were open between January 1, 2014, and December 26, 2020, to also qualify for the REH designation, and it provides for a specific payment structure for these hospitals. The bill's changes take effect beginning in 2027.





