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Congress·In Committee·H.R. 6240

Rural Hospital Closure Relief Act of 2025

House Bill Would Let Struggling Rural Hospitals Bypass Medicare's 35-Mile Rule for Critical Access Status

Stalled

No legislative action in over 90 days.

Legislative Progress

House
Senate
President
Law

Key Points

  • Lets States ask Medicare to waive the usual 35-mile distance rule so certain struggling rural hospitals can qualify as “critical access” hospitals.
  • Only certain hospitals can use this path, and they must be in rural or near-rural areas and show financial trouble (including 2 straight years of losses).
  • Hospitals must file a plan to stay financially stable and agree to add or expand a high-need service in the community, like maternity care or mental health care.
  • Caps the program at 120 hospitals nationwide and no more than 5 per State, and it stops creating new designations after 9 years.
  • Health and Human Services must set the rules within 1 year; government watchdogs will study costs, access to care, and future rural hospital payment options.
HealthcareMedicare Medicaid

Impact Analysis

Personal Impact

How this policy affects specific groups of people

Positive Impacts(2)
Medicare
Helps
Chronic Illness
Helps

State Impacts

GuamGU
Positive

Lets HHS set an island-appropriate inpatient bed limit for critical access hospitals in Guam instead of the standard 25-bed cap used in states. This could make it easier for Guam’s small hospitals to keep or qualify for critical access status while meeting local needs.

American SamoaAS
Positive

Lets HHS set an island-appropriate inpatient bed limit for critical access hospitals in American Samoa instead of the standard 25-bed cap used in states. This may help maintain inpatient capacity without risking critical access status.

Northern Mariana IslandsMP
Positive

Lets HHS set an island-appropriate inpatient bed limit for critical access hospitals in the Northern Mariana Islands instead of the standard 25-bed cap. This may better fit remote-island hospital realities and help keep inpatient care available.

United States Virgin IslandsVI
Positive

Lets HHS set an island-appropriate inpatient bed limit for critical access hospitals in the U.S. Virgin Islands instead of the standard 25-bed cap. This can help preserve inpatient services while aligning rules to local capacity needs.

Milestones

2 milestones2 actions
Nov 20, 2025House

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.

Nov 20, 2025

Introduced in House

The bill was officially filed and given a number. It now enters the legislative queue.

Votes

No votes have been recorded for this legislation yet.

Source Information

Document Type

Congressional Bill

Official Title

Rural Hospital Closure Relief Act of 2025

Bill NumberHR 6240
Congress119th Congress
ChamberHouse of Representatives
Latest ActionReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sponsor

Cosponsors

(2)
R: 2

Analysis generated by AI. Always verify with official sources.