The Rural Patient Monitoring (RPM) Access Act seeks to enhance the availability and quality of remote physiologic monitoring services for Medicare beneficiaries, particularly in underserved areas. It amends the Social Security Act to establish a floor of 1.00 for the practice expense and malpractice geographic indices for RPM services, effective January 1, 2026. This provision ensures that Medicare reimbursement for RPM is not lower in regions where these indices would otherwise fall below 1.00, and this adjustment will not be applied in a budget-neutral manner, aiming to boost access in rural and other areas. Furthermore, the bill mandates specific quality requirements for providers of remote physiologic monitoring services. These include the capability to respond to data anomalies with clinical support , transmit all relevant data to the supervising provider's electronic health record, and collect and report data necessary for evaluating Medicare cost savings. The Secretary is also directed to establish exceptions for small medical practices and to submit a report to Congress within two years analyzing the estimated Medicare savings resulting from RPM services and related practice expenses.