H. R. 5481, Rural Hospital Closure Relief Act of 2019.

Summary: To amend title XVIII of the Social Security Act to restore State authority to waive for certain facilities the 35-mile rule for designating critical access hospitals under the Medicare program. (Cosponsors)

ANGIE CRAIG’S POSITION:  Representative Craig Cosponsored the bill on 03/09/20.

STATUS: Introduced 12/18/19 by Rep. Kinzinger, Adam [R-IL-16].


  • This legislation allows a limited number of struggling rural PPS hospitals to convert to Critical Access Hospitals (CAH). NRHA strongly supports this much-needed relief to qualifying rural PPS hospitals, a majority of which are operating at a financial loss. This bill will enable those facilities to keep essential health services in their rural communities, and allow rural patients continued access to local emergency rooms. This critical legislation is a lifeline to struggling rural providers and the communities that rely on them. (Source: National Rural Health Association)


Link to the text of the bill.

Link to bill information (support and opposition) on Countable.

Link to bill information on GovTrack.

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