HR1775-119

1. Short title This Act may be cited as the Second Chances for Rural Hospitals Act.

2. Expanding the definition of rural emergency hospital under the Medicare program Section 1861(kkk) of the Social Security Act (42 U.S.C. 1395x(kkk)) is amended— in paragraph (2)(A), by striking is enrolled under section 1866(j) and inserting except in the case of a facility described in paragraph (3)(B); in paragraph (3)— in subparagraph (B), by striking the period at the end and inserting ; or; by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively, and adjusting the margins accordingly; by striking facility that as of and inserting facility— that as of by adding at the end the following new subparagraph: that— during the period beginning January 1, 2014, and ending December 26, 2020— was a critical access hospital; or was a subsection (d) hospital (as defined in section 1886(d)(1)(B)) located in a county (or equivalent unit of local government) in a rural area (as defined in section 1886(d)(2)(D)); and as of the date of the enactment of this subparagraph, had ceased operations. in paragraph (4)— in subparagraph (A)(i), by striking An action plan and inserting Except in the case of a facility described in paragraph (3)(B), an action plan; and in subparagraph (B)(i), by inserting except in the case of a facility described in paragraph (3)(B), before the facility. Section 1834(x) of the Social Security Act (42 U.S.C. 1395m(x)) is amended— in paragraph (1), by inserting , except that, in the case of a facility described in section 1861(kkk)(3)(B) that, as of the date on which such facility submits an application under section 1866(j) to enroll under this title as a rural emergency hospital, is located less than 35 miles away from the nearest hospital, critical access hospital, or rural emergency hospital, such increase shall not apply before the period at the end; and in paragraph (2)(A), by inserting (other than a facility described in section 1861(kkk)(3)(B) that, as of the date on which such facility submits an application under section 1866(j) to enroll under this title as a rural emergency hospital, is located less than 10 miles away from the nearest hospital, critical access hospital, or rural emergency hospital) after rural emergency hospital. The amendments made by this section shall apply beginning January 1, 2027. facility—(A)that as of; and (B)that—(i)during the period beginning January 1, 2014, and ending December 26, 2020—(I)was a critical access hospital; or(II)was a subsection (d) hospital (as defined in section 1886(d)(1)(B)) located in a county (or equivalent unit of local government) in a rural area (as defined in section 1886(d)(2)(D)); and(ii)as of the date of the enactment of this subparagraph, had ceased operations.; and