To amend title XVIII of the Social Security Act to provide for reform to and a permanent extension of the Medicare-dependent hospital program, and for other purposes.

Healthcare Enhancement for Americas Rural Towns Act or the HEART Act

This bill permanently extends and otherwise revises the Medicare-Dependent Hospital program (which provides increased payments to certain smaller, rural hospitals that serve a proportionally high number of Medicare patients). The bill also extends through FY 2019 the program for increased payments under Medicare for low-volume hospitals.