What does Preamble of Rural Hospital Revitalization Act of 2026 do?

This bill proposes to amend the Consolidated Farm and Rural Development Act. The proposed amendment would direct the Secretary of Agriculture to provide temporary zero-percent interest loans. These loans would be available under the community facilities direct loan program. The loans are intended for the construction or renovation of certain rural hospitals.

What does SHORT TITLE. of Rural Hospital Revitalization Act of 2026 do?

This bill is formally titled the Rural Hospital Revitalization Act of 2026.

What does RURAL HOSPITAL REVITALIZATION LOANS. of Rural Hospital Revitalization Act of 2026 do?

This section amends the Consolidated Farm and Rural Development Act to establish a program of temporary zero-percent interest loans for eligible rural hospitals. Eligible hospitals must meet specific criteria, including being located in a county with a population of less than 20,000, being a certain distance from the nearest hospital, and being a critical access or rural emergency hospital. Hospitals must also demonstrate a positive impact on the community and financial stability, including having at least 30 days cash on hand and a debt-service coverage ratio of at least 1.2. The Secretary may prioritize loans based on factors such as population density, financial feasibility, and the proportion of patients with Medicare or Medicaid. Loans are initially interest-free for five years, with repayment of principal amortized over a period up to 40 years. After five years, the Secretary assesses the hospital's financial stability to determine if the loan can be refinanced at prevailing rates. Hospitals may be eligible for one-time renewals of the zero-percent interest loan under certain conditions, including demonstrating a need for continued assistance and applying for technical assistance. Hospitals receiving loans are eligible for technical assistance grants to support operational improvements and financial stability.

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Rural Hospital Revitalization Act of 2026

Last updated: 5/21/2026 · Introduced: 5/21/2026

Author: Jill Tokuda (D-HI)

TL;DR (AI)

This bill establishes a program of temporary zero-percent interest loans for eligible rural hospitals to support construction or renovation projects.
Eligible hospitals must meet specific criteria related to location, designation as a critical access or rural emergency hospital, and financial stability, including maintaining a minimum cash reserve.
Hospitals receiving loans are also eligible for technical assistance grants to improve operations and financial health.

119th Congressin committeeS. 4141(In Committee)Official page

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Includes provisions on preamble, short title., and 1 more.

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