Jill Tokuda (D-HI)
Rural Hospital Revitalization Act of 2026
A Democratic bill with 9 Republican cosponsors · See all 13 cosponsors
Last activity — Referred to the House Committee on Agriculture.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
The Rural Hospital Revitalization Act of 2026 seeks to amend the Consolidated Farm and Rural Development Act. This bill directs the Secretary of Agriculture to provide temporary zero-percent interest loans through the community facilities direct loan program. These loans are intended for eligible rural hospitals to either construct replacement facilities or renovate existing ones. The bill establishes specific eligibility criteria regarding hospital location, history, and financial stability. It also outlines a process for assessment, refinancing, and potential loan renewals.
Yes· 3 of 8
- Scored +8
Would people in rural areas be better off under this?
The bill specifically targets the preservation and improvement of healthcare access for people in rural areas.
- Scored +8
Does this make health care easier to get in general?
The bill provides loans specifically to preserve and improve healthcare access in rural areas.
- Scored +7
Does this invest in rural communities?
The bill invests directly in the infrastructure of rural hospital facilities.
The opposite
- Scored -2
Does this reduce what the federal government spends?
The bill allocates new zero-percent interest loans through the community facilities direct loan program.
- Scored -1
Does this make housing cost less?
Improving hospital infrastructure may indirectly stabilize local community living conditions.
Who it would affect, and how
Potential Positive Impacts for People
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Improved Healthcare Infrastructure: The bill allows for the construction of replacement hospital facilities or the improvement and renovation of existing ones, which can address the age and condition of current facilities (Section 2(b)(1)(D)(i)(I)).
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Preservation of Healthcare Access: Loan funds are intended to address issues relating to the quality and viability of facilities to preserve access to healthcare (Section 2(b)(1)(D)(i)(II)).
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Financial Relief for Rural Hospitals: The provision of a zero-percent interest rate for the first five years of a loan can assist hospitals with financial stability (Section 2(c)(1)(A)).
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Support for Local Communities: The bill recognizes hospitals that provide a positive impact on access to primary healthcare, emergency services, and a meaningful economic impact (Section 2(b)(1)(D)(ii)).
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Operational and Financial Support: Hospitals receiving these loans are eligible for technical assistance to support operational improvements and improve financial stability (Section 2(e)(1)).
Potential Negative Impacts for People
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Strict Eligibility Requirements: To qualify, hospitals must meet several specific criteria, such as being located in a county with a population of less than 20,000 and having a continuous license for at least 30 years (Section 2(b)(1)).
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Financial Stability Burdens: Hospitals must demonstrate financial stability through specific metrics, including having not less than 30 days cash on hand and a projected debt-service coverage ratio of at least 1.2 (Section 2(b)(1)(E)).
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Risk of Interest Rate Changes: After the initial 5-year zero-percent interest period, loans must be refinanced at the prevailing interest rates of the community facilities direct loan program (Section 2(c)(3)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would people in rural areas be better off under this? — The bill specifically targets the preservation and improvement of healthcare access for people in rural areas. Would households on low incomes be better off under this? — The bill prioritizes hospitals that serve many individuals eligible for Medicaid. Would people over 65 be better off under this? — Improved rural hospital infrastructure benefits seniors who rely on local healthcare and Medicare.
- Healthcare
- Does this make health care easier to get in general? — The bill provides loans specifically to preserve and improve healthcare access in rural areas. Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill prioritizes hospitals that serve many individuals eligible for medical assistance under State plans. Does this put more money into Medicare, the health coverage for people over 65? — The bill prioritizes hospitals that serve many individuals enrolled in Medicare programs.
- Environment Energy And Infrastructure
- Does this invest in rural communities? — The bill invests directly in the infrastructure of rural hospital facilities.
- Economy And Finance
- Is this likely to create jobs? — The construction and renovation of hospital facilities may support local employment. Does this reduce what the federal government spends? — The bill allocates new zero-percent interest loans through the community facilities direct loan program.
- Social Issues And Justice
- Does this make housing cost less? — Improving hospital infrastructure may indirectly stabilize local community living conditions.
- 7/22/2026
- 1 Cosponsor added.
- 6/25/2026
- 2 Cosponsors added.
- 6/9/2026
- 2 Cosponsors added.
- 5/21/2026
- Referred to the House Committee on Agriculture.
- 8 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Lauren BoebertRepublican · Colorado
Jack BergmanRepublican · Michigan
Nikki BudzinskiDemocrat · Illinois
Sharice DavidsDemocrat · Kansas
Maxine DexterDemocrat · Oregon
Russ FulcherRepublican · Idaho
Shomari FiguresDemocrat · Alabama
Jeff HurdRepublican · Colorado
Mike KellyRepublican · Pennsylvania
Tracey MannRepublican · Kansas
Carol MillerRepublican · West Virginia
Derek SchmidtRepublican · Kansas
Glenn ThompsonRepublican · Pennsylvania