This bill aims to adjust and expand eligibility for the rural emergency hospital designation under the Medicare program, as outlined in the Social Security Act. The proposed changes are intended to allow more facilities to qualify, thereby supporting access to emergency care in underserved rural areas. Key amendments include broadening the eligibility timeframe, allowing facilities that met specific criteria at any point between January 1, 2015 , and the bill's enactment to qualify. Additionally, a new eligibility pathway is created for facilities that were off-campus outpatient departments of a hospital, functioned as a dedicated emergency department , and were situated in a rural county .