1. Short title This Act may be cited as the Access for Rural Communities Act or the ARC Act . 2. Relief for small rural hospitals from inaccurate instructions provided by certain medicare administrative contractors (a) Application of revised volume decrease adjustment methodology Subject to subsection (b), in the case of a sole community hospital or a medicare-dependent, small rural hospital with respect to which a medicare administrative contractor determined a volume decrease adjustment applies for any specified cost reporting period, at the election of the hospital, the Secretary of Health and Human Services shall recalculate the amount of the volume decrease adjustment determined by the medicare administrative contractor for such hospital and specified cost reporting period using the revised volume decrease adjustment payment methodology for any specified cost reporting period requested by the hospital in its election. (b) Limitation (1) In general Subsection (a) shall not apply in the case of a sole community hospital or a medicare-dependent, small rural hospital for which the medicare administrative contractor determination of the volume decrease adjustment with respect to a specified cost reporting period of the hospital is administratively final before the date that is three years before the date of the enactment of this section. (2) Administrative finality For purposes of paragraph (1), the date on which the medicare administrative contractor determination with respect to a volume decrease adjustment for a specified cost reporting period is administratively final is the latest of the following: (A) The date of the contractor determination (as defined in section 405.1801 of title 42, Code of Federal Regulations). (B) The date of the final outcome of any reopening of the medicare administrative contractor determination under section 405.1885 of title 42, Code of Federal Regulations. (C) The date of the final outcome of the final appeal filed by such hospital with respect to such volume decrease adjustment