II 118th CONGRESS 2d Session S. 4201 IN THE SENATE OF THE UNITED STATES April 23, 2024 Mrs. Hyde-Smith introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to modify the criteria for designation of rural emergency hospitals.

1. Short title This Act may be cited as the Rural Health Sustainability Act . 2. Modification of criteria for designation of rural emergency hospitals Section 1861(kkk)(3) of the Social Security Act ( 42 U.S.C. 1395x(kkk)(3) ) is amended— (1) in the matter preceding subparagraph (A), by striking as of the date of the enactment of this subsection and inserting as of January 1, 2014 ; (2) in subparagraph (A), by striking or at the end; (3) in subparagraph (B), by striking the period at the end and inserting ; or ; and (4) by adding at the end the following new subparagraph: (C) was designated as rural by the Office of Rural Health Policy of the Health Resources and Services Administration. .