Rural Hospital Fairness Act

(4) Continuation of CAH status for certain facilities

(A) In general. A facility described in subparagraph (B) that does not meet the location requirement under subsection (c)(2)(B)(i)(I) (and was not certified by the State as being a necessary provider of health care services to residents in the area under subsection (c)(2)(B)(i)(II)) shall be deemed to have been certified by the Secretary under subsection (e) as a critical access hospital so long as such facility is otherwise eligible to be designated by the State as a critical access hospital under subsection (c) and meets any other criteria required by the Secretary under subsection (e)(3).

(B) Facility described. For purposes of subparagraph (A), a facility described in this subparagraph is a facility that—

(i) was designated as a critical access hospital before January 1, 2002;

(ii) as of December 31, 2024, was certified by the Secretary under subsection (e) as a critical access hospital; and

(iii) as of the date on which the facility was officially notified by the Secretary that it was no longer so certified, was located in a county (or equivalent unit of local government) in which no other hospital, critical access hospital, or rural emergency hospital was located.