We’re proud to introduce the Sustaining Rural Healthcare Act and double down on our efforts to support rural health care providers.
Mark Alford will support the Sustaining Rural Healthcare Act to expand Critical Access Hospital benefits for eligible rural hospitals through a new In Character Critical Access Hospital designation.
Occurrences
Evidence
Sponsor: Rep. Graves, Sam [R-MO-6] (Introduced 02/06/2023). Latest Action: House - 12/17/2024 Referred to the Subcommittee on Health. This bill has the status Introduced. The CRS summary says the bill allows additional small rural hospitals to qualify as critical access hospitals and receive special Medicare payment.
Congress.gov lists H.R.833 with Cosponsors (5). Review of the cosponsors page did not show Mark Alford as a bill cosponsor; appearances of Alford on the page were in the generic member search/filter menu.
Representative Mark Alford: In Congress 2023 - Present; Party Republican; House Missouri, District 4 118th-119th. Congress.gov member activity lists sponsored legislation, cosponsored legislation, and Health subject activity, but no exact match for a Sustaining Rural Healthcare Act was found in reviewed official member activity.
CMS states CAHs are a separate provider type with their own Medicare Conditions of Participation and payment method. A Medicare-participating hospital must meet criteria including rural location, distance requirements, no more than 25 inpatient beds, average length of stay of 96 hours or less, and 24-hour emergency services.
Assessments
The promised policy outcome was not enacted: CMS criteria still reflect the existing Critical Access Hospital framework, with no new In Character Critical Access Hospital designation. The closest matching federal bill, H.R.833 in the 118th Congress, remained introduced/referred and did not become law. Alford was in office during that Congress, but the available Congress.gov evidence does not show him sponsoring or cosponsoring the bill or otherwise materially advancing the promised legislation, so there is not enough for delivery or an effort badge.