S521-119

1. Short title This Act may be cited as the Supporting Access to Rural Community Hospitals Act of 2025.

2. Waiving certain distance requirements for certain hospitals electing to be designated as critical access hospitals Section 1820(c)(2)(B)(i) of the Social Security Act (42 U.S.C. 1395i–4(c)(2)(B)(i)) is amended— in subclause (I), by striking or at the end; in subclause (II), by adding or at the end; and by adding at the end the following new subclause: with respect to designations occurring during the 1-year period beginning on the date that is 6 months after the date of the enactment of this subclause, is a rural community hospital (as defined in subsection (f) of section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003) that was participating in the demonstration program established under such section as of such date of enactment. Section 410A(f)(1)(A)(iv) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (42 U.S.C. 1395ww note) is amended by striking is not and all that follows through the period and inserting is not a critical access hospital (as defined in section 1861(mm)(1) of the Social Security Act).. (III)with respect to designations occurring during the 1-year period beginning on the date that is 6 months after the date of the enactment of this subclause, is a rural community hospital (as defined in subsection (f) of section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003) that was participating in the demonstration program established under such section as of such date of enactment..