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H.R. 7409 (119th Congress)Committee
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Defend Rural Health Act of 2026

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Summary

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This bill amends the Medicare program to restrict geographic reclassification of hospitals, particularly protecting rural hospital designations. It limits urban hospitals' ability to be reclassified as rural for Medicare payment purposes by requiring they meet specific criteria and prohibiting dual reclassifications through the Medicare Geographic Classification Review Board. The bill establishes an October 1, 2029 deadline after which hospitals must demonstrate ongoing eligibility for rural status.

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