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Congress·In Committee·S. 4141

Rural Hospital Revitalization Act of 2026

Sen. Bennet and Sen. Moran Introduce Bill to Give Rural Hospitals Interest-Free Loans

The Rural Hospital Revitalization Act of 2026 is currently in the early stages of the legislative process. It has been sent to the Senate Committee on Agriculture, Nutrition, and Forestry for review. No further actions are scheduled at this time.

Legislative Progress

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House
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Law

Key Points

  • The bill creates a new loan program through the USDA's community facilities direct loan program that provides zero-percent interest loans to rural hospitals for building new facilities or renovating old ones.

    From policy text

    the Secretary shall make temporary zero-percent interest loans to eligible rural hospitals described in subsection (b) for the construction of replacement hospital facilities or the improvement or renovation of existing hospital facilities in accordance with this section.
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  • To qualify, a hospital must be in a county with fewer than 20,000 people, be a certain distance from the nearest hospital, or be designated as a critical access or rural emergency hospital. It must also have been licensed in its community for at least 30 years.

    From policy text

    the campus (as defined in section 413.65(a)(2) of title 42, Code of Federal Regulations (or successor regulations)) of which is in a county with a population of less than 20,000 inhabitants
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  • The zero-interest period lasts for five years. After that, the government assesses whether the hospital is financially strong enough to refinance at normal rates. If the hospital is still struggling, it can apply for one five-year renewal of the zero-interest terms.
  • There is also an interest rate protection option: even if a hospital is financially stable after five years, it can keep the zero-percent rate for another five years if the prevailing community facilities loan rate is above 2.5 percent.
  • Priority goes to hospitals in the most remote areas (fewer than 6 people per square mile), those serving high shares of Medicare, Medicaid, or self-pay patients, and those that cannot afford renovation at standard loan rates.
  • Hospitals receiving these loans are also eligible for technical assistance grants to help with operational improvements and financial stability, delivered through HRSA and USDA rural development programs.

    From policy text

    A hospital that receives a loan under this section shall be eligible for assistance through an award under a covered program to support operational improvements and improve financial stability
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HealthcareAgricultureEconomy Finance

Impact Analysis

Personal Impact

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

Milestones

2 milestones2 actions
Mar 19, 2026Senate

Read twice and referred to the Committee on Agriculture, Nutrition, and Forestry.

Mar 19, 2026

Introduced in Senate

Source Information

Document Type

Congressional Bill

Official Title

Rural Hospital Revitalization Act of 2026

Bill NumberS 4141
Congress119th Congress
ChamberSenate
Latest ActionRead twice and referred to the Committee on Agriculture, Nutrition, and Forestry.
Read Full Bill Text

Sponsor

Cosponsors

(1)
R: 1

Analysis generated by AI. Always verify with official sources.