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S 521 119th Congress

Supporting Access to Rural Community Hospitals Act of 2025

A bill to amend title XVIII of the Social Security Act to waive certain distance requirements for certain hospitals electing to be designated as critical access hospitals.

Official Title as Introduced Congress.gov

Introduced Feb 11, 2025 Latest action Feb 11, 2025 Sponsor: Sen. Fischer, Deb [R-NE] Health
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Source: Congress.govUpdated 2026-09-17 19:09:27 UTC.

Source-linked procedural record

Bill journey

4 dated records

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Introduction 1 One supplied introduction date.
Official actions 2 2 dated action records.
Committees 1 1 undated relationship.
Amendments 0 No record is cached.
Text versions 1 1 dated, 0 without a supplied date.
House roll calls 0 No exact legislation-key match in the House-vote cache.
Senate roll calls 0 No exact document-key match in the Senate-vote cache.
Related measures 1 1 undated relationship.
Linked law 0 No linked law record is cached; this does not predict outcome.

  1. Official action Congress.gov

    Read twice and referred to the Committee on Finance.

    IntroReferral · Senate

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    Official action Congress.gov

    Introduced in Senate

    IntroReferral · Library of Congress · Code 10000

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    Text version Congress.gov

    Introduced in Senate

    A dated text-version record is available.

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Every dated cached record linked to S 521. Same-date row order does not assert procedural sequence.
Date and timeRecordOfficial detailSource
IntroductionIntroduced Introduced in the Senate. Congress.gov
Official actionRead twice and referred to the Committee on Finance. No additional detail supplied.IntroReferral · Senate Congress.gov
Official actionIntroduced in Senate No additional detail supplied.IntroReferral · Library of Congress · Code 10000 Congress.gov
Text versionIntroduced in Senate A dated text-version record is available. Congress.gov

House roll calls join only on matching Congress, legislation type, and number. Senate roll calls join only on matching source-supplied document type and number, not question text. Committee and related-measure relationships have no date in their relationship records and therefore are counted above but never placed on the chronology.

Congressional Research Service

CRS summary

Introduced in Senate Feb 11, 2025

Supporting Access to Rural Community Hospitals Act of 2025This bill temporarily allows additional hospitals to qualify as critical access hospitals (CAHs) that receive special payment under Medicare.Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (or 15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area. Hospitals also must meet certain size and service requirements, including having no more than 25 acute care inpatient beds.The bill allows, for one year, hospitals that are participating in the Rural Community Hospital Demonstration Program to also qualify as CAHs. (The program tests the feasibility of cost-based reimbursement for small rural hospitals that are too large to qualify as CAHs.)

Official documents

Text versions