The Rural Hospital Revitalization Act of 2026 directs the Secretary of Agriculture to provide temporary zero-percent interest loans to eligible rural hospitals under the community facilities direct loan program. These loans, initially for five years, are for constructing new facilities or renovating existing ones, aiming to improve healthcare access and financial stability in underserved communities. Eligibility requires hospitals to be in low-population counties, geographically isolated, or designated as Critical Access or Rural Emergency Hospitals, and continuously licensed for at least 30 years. They must demonstrate need, positive community impact, and financial stability, with priority given to those in sparsely populated areas, those unable to afford standard loan terms, or those serving a high percentage of Medicare, Medicaid, or self-pay patients. After the initial five-year period, the Secretary assesses financial stability; if stable, the loan refinances at prevailing rates without retroactive interest. If not stable, or if prevailing rates exceed 2.5%, a hospital may apply for a one-time, five-year renewal of the zero-percent interest loan, contingent on conditions like seeking federal technical assistance or demonstrating continued community impact. Hospitals receiving these loans are also eligible for technical assistance grants to support operational improvements and long-term financial health.