The bill would ensure that beds used exclusively for labor and delivery are not counted toward the 25-bed limit required for Critical Access Hospital (CAH) designation under Medicare.
Randy Feenstra will ensure beds used exclusively for labor and delivery are not counted toward the 25-bed limit for Critical Access Hospital designation under Medicare.
Occurrences
Evidence
Feenstra says he introduced the Rural Maternity Options for Medical Support (MOMS) Act of 2026 to strengthen and stabilize maternal healthcare in rural communities nationwide.
Feenstra says he introduced the Rural Community Hospital Demonstration Program Reauthorization Act to extend the demonstration for five years.
The eCFR page for 42 CFR 485.610 is current as of June 17, 2026 and shows the active CAH status/location rule; it does not reflect any new bed-count carveout here.
Assessments
The available evidence does not show that Medicare’s Critical Access Hospital 25-bed limit was changed to exclude beds used exclusively for labor and delivery. The current 42 CFR 485.610 text cited in the record still does not contain the promised carveout. Feenstra appears to have pursued related rural health and maternity legislation, which shows policy interest, but the evidence provided does not establish a serious, specific attempt that enacted or directly advanced this exact bed-count exclusion. On this record, the promise is not delivered, but the evidence is too indirect to score it as a clear failed attempt.