Bill gives rural hospitals $1 million per year for 10 years.
S. 4927 — Rural Hospital Emergency Room Guarantee Act · Filed by Josh Hawley (R-MO) · 1 cosponsor · Introduced Jun 24, 2026 · Referred to committee
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What it does
The bill sets up a 10-year program. Rural hospitals get $1 million each year to run emergency rooms. The money goes up each year. Hospitals can get up to 50% more based on patient need. Hospitals must use the money only for emergency room costs and staff pay.
Who it affects
Rural residents get better access to emergency care. Rural hospitals that run 24-hour emergency rooms get the payments.
One thing to notice
The program ends after 10 years. If Congress does not renew it, rural hospitals lose this money.
From the analysis of the bill text, linked under Primary records below.
Where it stands
1 cosponsor: 1 Democrats.
- Jun 24, 2026 — Introduced · Congress.gov: “Introduced in Senate”
- Jun 24, 2026 — Referred to Senate Committee on Health, Education, Labor, and Pensions · Congress.gov: “Read twice and referred to the Committee on Health, Education, Labor, and Pensions”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Words to know
- rural hospitals — Hospitals in areas far from cities that serve small populations.
- emergency rooms — The part of a hospital that treats people with sudden, serious health problems.
How this was measured
Analysis — Quorum's AI read the full bill text on Jul 9, 2026; transparency and hidden-provision scores are compared against the median of 14,707 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
As of — page rendered 2026-09-23.
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