I 118th CONGRESS 1st Session H. R. 1128 IN THE HOUSE OF REPRESENTATIVES February 21, 2023 Mr. Green of Tennessee introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to permit States to designate without any mileage limitations facilities that are located in rural areas as critical access hospitals.

1. Short title This Act may be cited as the Rural Health Care Access Act of 2023 . 2. Medicare Rural Hospital Flexibility Program (a) In general Section 1820 of the Social Security Act ( 42 U.S.C. 1395i–4 ) is amended— (1) in subsection (c)(2)(B)(i)— (A) by striking , and that— and inserting a semicolon; and (B) by striking subclauses (I) and (II); and (2) in subsection (h)(3), by inserting made before the date of the enactment of the Rural Health Care Access Act of 2023 after any redesignation . (b) Effective date The amendment made by subsection (a)(1) shall apply with respect to any designation or redesignation made on or after the date of the enactment of this Act.