Affordable Access to Rural Health Care Act This bill temporarily exempts newly constructed or purchased rural health clinics (RHCs) from Medicare payment limits. Specifically, the bill exempts an RHC from payment limits for its first year of services upon certification that a hospital had a binding written agreement with an outside unrelated party to construct or purchase the RHC before March 30, 2021. The Centers for Medicare & Medicaid Services must conduct a related compliance audit within 60 days of the bill's enactment.