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HR 7514
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Rural Health Care Facilities Revitalization Act

To authorize rural health facilities to use certain Federal agricultural credit assistance for the purpose of refinancing debt obligations, updating necessary services, technology, and equipment, and supporting ancillary needs.

Introduced Feb 11, 2026

Latest action (Mar 20, 2026) Referred to the Subcommittee on Commodity Markets, Digital Assets, and Rural Development.

Policy area
Issues
Healthcare

Summary

The bill authorizes rural health care facilities, including hospitals, behavioral health facilities, clinics, home health agencies, and long-term care facilities, to use Federal agricultural credit assistance to refinance debt, update telehealth and equipment, and cover operating expenses and reserve funds. Facilities may use this assistance only if it would help preserve access to health services in the rural community and meaningfully improve the facility's financial position. The bill allows the Secretary of Agriculture to waive certain lending requirements for facilities that are insolvent or located in persistent poverty areas, socially vulnerable communities, or distressed areas. Rural areas are defined as having populations of 50,000 or fewer and not being adjacent to urbanized cities with populations over 50,000. The amendment takes effect six months after the bill's enactment.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)

Actions (3)

  1. Mar 20, 2026 Referred to the Subcommittee on Commodity Markets, Digital Assets, and Rural Development. · house
  2. Feb 11, 2026 Referred to the House Committee on Agriculture. · house
  3. Feb 11, 2026 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

Full text

IN THE HOUSE OF REPRESENTATIVES

February 11, 2026

Ms. Salinas (for herself, Mr. Moolenaar, Ms. Tokuda, and Mr. Moylan) introduced the following bill; which was referred to the Committee on Agriculture

A BILL

To authorize rural health facilities to use certain Federal agricultural credit assistance for the purpose of refinancing debt obligations, updating necessary services, technology, and equipment, and supporting ancillary needs.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Rural Health Care Facilities Revitalization Act”.

SEC. 2. ASSISTANCE FOR DISTRESSED RURAL HEALTH CARE FACILITIES.

(a) In General.—Subtitle A of the Consolidated Farm and Rural Development Act (7 U.S.C. 1922-1936c) is amended by adding at the end the following:

“SEC. 310J. ASSISTANCE FOR DISTRESSED RURAL HEALTH CARE FACILITIES.

“(a) In General.—A health care facility, including a hospital, behavioral health facility, health care clinic (including a mobile health care clinic), home health agency, and long-term care facility, in a rural area may use assistance provided under section 306(a) for a community facility, or under section 310B, to—

“(1) refinance a debt obligation;

“(2) update a telehealth, equipment, or online database; or

“(3) support ancillary needs, including operating expenses and reserve funds.

“(b) Limitations.—A facility may use assistance pursuant to subsection (a) only if doing so would—

“(1) help preserve access to a health service in a rural community;

“(2) meaningfully improve the financial position of the facility; and

“(3) otherwise meet the financial feasibility and security adequacy requirements of the Rural Development Agency.

“(c) Waiver.—In the case of an application from a facility referred to in subsection (a) of this section for assistance under section 306(a) for a community facility, or under section 310B, the Secretary may waive the requirement of section 302(a)(1)(D) if the facility that is insolvent or located in a persistent poverty area, socially vulnerable community (as determined by the Secretary), or distressed area (as determined by the Secretary).

“(d) Definitions.—In this section:

“(1) Persistent poverty area.—The term ‘persistent poverty area’ means an area with a poverty rate of 20 percent or more for 4 consecutive time periods, approximately 10 years apart, spanning approximately 30 years.

“(2) Rural area.—The term ‘rural area’ means an area with a population of 50,000 or fewer inhabitants that is not an urbanized area adjacent or contiguous to a city with a population of more than 50,000 inhabitants.”.

(b) Effective Date.—The amendment made by subsection (a) shall take effect 6 months after the date of the enactment of this Act. <all>

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