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H.R. 5198·119th Congress·Introduced Sep 8, 2025

Rural Health Clinic Location Modernization Act of 2025

IntroducedHealthNarrow
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Sponsor
Rep. Mann, Tracey [R-KS-1]
Committees
Ways and Means Committee (primary)
Last action
Sep 8, 2025

Bottom line

This bill makes a technical wording change to the Medicare rural health clinic eligibility criteria, clarifying the definition of an excluded urban area without altering the substantive population threshold.

What it actually does

This bill amends Section 1861(aa)(2) of the Social Security Act, which defines eligibility for rural health clinics (RHCs) under Medicare. Specifically, it replaces the phrase "an urbanized area (as defined by the Bureau of the Census)" with "an urban area (as defined by the Bureau of the Census) with a population of 50,000 or more." Based on current Census Bureau definitions, both phrases refer to geographic areas with populations of 50,000 or more, meaning the bill maintains the existing population threshold for RHC qualification.

Section 2(a)

Technical Clarification of Urban Area Definition for RHCs

prominently featuredstraightforward

This section modifies the language in the Social Security Act that specifies where a rural health clinic (RHC) cannot be located to qualify for Medicare reimbursement. Previously, RHCs could not be in an "urbanized area" as defined by the Census Bureau. This bill changes that to "an urban area (as defined by the Bureau of the Census) with a population of 50,000 or more." According to Census definitions, an "urbanized area" is an urban area with a population of 50,000 or more. Therefore, this amendment appears to be a technical clarification that maintains the existing population threshold for RHC exclusion, rather than changing which areas are eligible.

Section 2(b)

Effective Date

mentioned in summarystraightforward

This subsection specifies that the changes made by the bill will take effect starting January 1, 2027. This provides a lead time for clinics and the Centers for Medicare & Medicaid Services (CMS) to adapt to the new eligibility criteria, though the substantive impact on eligibility appears minimal.

About this analysis. AI-Generated from the official bill text and available committee reports. Gaps in available data are noted explicitly. Verify important details with the official Congress.gov record.

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