The Rural Hospital Revitalization Act of 2026 creates a new loan program through the Department of Agriculture to help rural hospitals construct new facilities or renovate existing ones. Eligible hospitals must be located in counties with fewer than 20,000 people, be at least 15 to 35 miles from the nearest hospital depending on terrain, and demonstrate financial stability and community health benefits. The loans carry zero percent interest for the first five years, then are refinanced at prevailing rates if the hospital demonstrates financial strength, or can be renewed for another five-year zero-interest period if the hospital is still struggling financially. Hospitals receiving these loans also gain access to federal technical assistance programs to help improve operations and financial performance. The bill prioritizes hospitals in remote, sparsely populated areas that serve a high proportion of Medicare, Medicaid, and uninsured patients.
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