Pulaski Times

U.S. Senators John Boozman, Chuck Grassley, and Peter Welch have introduced the Rural Hospital Support Act to address the issue of rural hospital closures by extending key Medicare programs. The proposed legislation aims to provide financial stability and security for these essential healthcare institutions.

Senator Boozman emphasized the dual role of rural hospitals as providers of critical health services and economic benefits in their communities. "Hospitals are one of the last community pillars still standing in rural America," he stated. "As these institutions continue to face headwinds threatening their viability, we can help sustain them by supporting fair and adequate reimbursement for their services."

Grassley highlighted his personal connection to the issue as a lifelong resident of rural Iowa, noting that these hospitals not only offer life-saving care but also contribute significantly to local economies. He remarked, "Our bipartisan bill will ensure the continuity of these vital programs and help keep rural hospitals’ doors open."

Welch pointed out the importance of rural hospitals in providing essential care to Medicare and Medicaid beneficiaries while also serving as job creators. He expressed concern over their struggles nationwide: "Our bipartisan legislation will help ensure rural hospitals are reimbursed for resources they need to continue delivering vital care in our rural communities."

The Rural Hospital Support Act proposes several measures:

- Permanent extension of the Medicare-Dependent Hospital (MDH) program.

- Permanent extension of the Low-Volume Hospital (LVH) program.

- Updating the rebasing year for Sole Community Hospitals (SCH) and MDHs.

The bill is supported by a bipartisan group including Senators Shelley Moore Capito, Tim Kaine, Roger Wicker, Jeanne Shaheen, Jerry Moran, Tina Smith, Cindy Hyde-Smith, John Fetterman, Mark Kelly, Roger Marshall M.D., and Gary Peters.

Organizations such as the Alliance for Rural Hospital Access, American Hospital Association, and National Rural Health Association have shown support for this legislative effort.

Rural hospitals play a crucial role in providing care to patients who rely on Medicare and Medicaid while also being significant employers in their areas. The MDH and LVH programs have been instrumental in supporting these communities but require congressional action before March 31, 2025. The proposed act does not affect other existing programs like critical access hospitals or new voluntary rural emergency hospitals.