The Rural Hospital Revitalization Act would provide interest-free loans of up to 10 years through the U.S. Department of Agriculture Community Facilities Program to support the construction and renovation of rural hospitals.
Provide interest-free USDA Community Facilities Program loans of up to 10 years to support construction and renovation of rural hospitals.
Occurrences
This legislation ensures rural hospitals can modernize their facilities, meet today’s healthcare standards, and continue delivering dependable care to those who rely on them.
Evidence
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Rep. Carol Miller's office says she joined bipartisan colleagues in introducing the Rural Hospital Revitalization Act; the bill would provide interest-free USDA Community Facilities Program loans for up to 10 years for rural hospital construction and renovation.
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Rep. Tokuda's office lists Carol Miller among the colleagues who introduced the bill and says it would provide interest-free loans through USDA's Community Facilities Program for rural hospital construction and renovation.
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The House bill text would amend the Consolidated Farm and Rural Development Act to direct USDA to make temporary zero-percent interest loans under the Community Facilities Direct Loan Program for rural hospital construction, improvement, or renovation, with an initial 5-year zero-interest period and possible renewal.
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GovInfo lists the Senate companion as introduced on March 19, 2026, read twice, and referred to the Senate Committee on Agriculture, Nutrition, and Forestry. The title is to direct USDA to make temporary zero-percent interest Community Facilities direct loans to construct or renovate certain rural hospitals.
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USDA describes the existing Community Facilities Direct Loan program as offering low-interest direct loans, grants, or combinations; current rates effective April 1 through June 30, 2026 are listed as 4.500%, 4.625%, and 4.750%.
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Last Action Date Listed May 21, 2026
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Poverty: | 4.500%* Intermediate: | 4.625%* Market: | 4.750%*
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Last Action Date Listed September 24, 2026 Action Mr. Boozman, from the Committee on Agriculture, Nutrition, and Forestry, reported the following original bill; which was read twice and placed on the calendar
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“SEC. 310A. Rural hospital revitalization loans. “(a) In general.—Under the community facilities direct loan program established under section 306(a)(1) (referred to in this section as the ‘community facilities direct loan program’), the Secretary shall make temporary zero-percent interest loans to eligible rural hospitals described in subsection (b) for the construction of replacement hospital facilities or the improvement or renovation of existing hospital facilities in accordance with this section.
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Current interest rates, effective October 1, 2026 – December 31, 2026: Poverty: | 4.500%* Intermediate: | 4.625%* Market: | 4.750%*
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“(1) I NITIAL INTEREST-FREE LOAN.—Except as otherwise provided in this subsection, a loan made under this section shall, for the first 5 years of the loan— “(A) have a zero percent interest rate;
Assessments
Miller appears to have materially advanced the promised policy by joining the bipartisan introduction of the Rural Hospital Revitalization Act, and the bill text closely matches the pledge to create temporary zero-percent USDA Community Facilities loans for rural hospital construction and renovation. But the evidence only shows introduction and committee referral, not enactment or an operating USDA program. USDA’s current Community Facilities loans still carry positive interest rates, so the promised outcome has not yet been delivered. Because she has taken a concrete legislative step and remains in office, the proper judgment is unresolved rather than never.
Miller materially advanced matching federal legislation by joining introduction of the Rural Hospital Revitalization Act in May 2026, which would create up-to-10-year zero-interest USDA Community Facilities loans for rural hospital construction and renovation. But the evidence and current official status show the policy remains proposed legislation, with the Senate companion referred to committee and USDA's existing Community Facilities loans still interest-bearing, so the promised program has not yet been provided.