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S. 3250: Rural Hospital Flexibility Act of 2025

The "Rural Hospital Flexibility Act of 2025" is a bill aimed at providing support and resources to rural healthcare facilities, particularly focusing on improving access and quality of care in rural areas. Below are the key provisions of the bill:

Grant Program for Rural Hospitals

The bill seeks to amend existing laws to reauthorize the Rural Flexibility Program and ensure ongoing grants for rural hospitals. These grants will provide funding for various activities, including:

  • Support for critical access hospitals, rural health clinics, and rural emergency hospitals in areas such as quality improvement, performance monitoring, and addressing population health.
  • Assistance for critical access hospitals to convert to rural emergency hospitals to maintain emergency services in their communities.
  • Outreach and support for hospitals regarding graduate medical education costs, helping them with applications for residency positions.

Eligibility and Definitions

The bill clarifies who qualifies for assistance under the program:

  • Critical access hospitals and rural emergency hospitals.
  • Non-Federal, short-term general acute hospitals with fewer than 50 beds located in rural areas.

Grant Distribution and Use of Funds

Funds will be distributed evenly among eligible small rural hospitals. The intended uses of these funds include:

  • Purchasing necessary technology such as software and hardware.
  • Training hospital staff on essential operational skills, billing, and quality improvement initiatives.
  • Implementing various delivery system reform programs as deemed appropriate by the Secretary of Health and Human Services.

Administrative Support

State Offices of Rural Health will be responsible for administering these grants on behalf of eligible hospitals. They will submit applications to gather resources and support for implementing the necessary programs.

Financial Provisions

The bill provides for grants to be funded from fiscal year 2011 through subsequent years, allowing for sustained financial support for rural healthcare initiatives.

Overall Impact

Overall, the bill aims to enhance the quality and accessibility of healthcare services in rural communities by ensuring that rural hospitals receive the necessary support to manage their operations and improve patient care delivery.

Relevant Companies

  • HCA Healthcare (HCA) - As a large healthcare provider with facilities in rural areas, changes in rural hospital funding could impact their operations and partnerships.
  • Cummins Inc. (CMI) - While not a healthcare company directly, they may supply energy solutions to rural hospitals needing reliable services.

This is an AI-generated summary of the bill text. There may be mistakes.

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Sponsors

4 bill sponsors

Actions

2 actions

Date Action
Nov. 20, 2025 Introduced in Senate
Nov. 20, 2025 Read twice and referred to the Committee on Finance.

Corporate Lobbying

0 companies lobbying

None found.

* Note that there can be significant delays in lobbying disclosures, and our data may be incomplete.

Potentially Relevant Congressional Stock Trades

Estimated excess return of the underlying stock since the transaction
Politician Stock Transaction Filed Traded
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $15,001 - $50,000
Mar 09, 2026 Feb 17, 2026 -7.59%
Congress pfp
Ro Khanna D / House
CMI logo
CMI CUMMINS INC COMMON STOCK
Sale $1,001 - $15,000
Mar 09, 2026 Feb 05, 2026 +5.61%
Congress pfp
Josh Gottheimer D / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Purchase $1,001 - $15,000
Mar 16, 2026 Feb 05, 2026 +5.61%
Congress pfp
Julia Letlow R / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Purchase $1,001 - $15,000
Mar 12, 2026 Feb 04, 2026 -4.19%
Congress pfp
Lisa C. McClain R / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Sale $1,001 - $15,000
Nov 21, 2025 Oct 31, 2025 +30.32%
Congress pfp
Lisa C. McClain R / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Sale $1,001 - $15,000
Nov 21, 2025 Oct 30, 2025 +29.93%
Congress pfp
Lisa C. McClain R / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Purchase $1,001 - $15,000
Nov 21, 2025 Oct 30, 2025 +29.93%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 06, 2025 Oct 27, 2025 +5.38%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 06, 2025 Oct 27, 2025 +5.38%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 06, 2025 Oct 27, 2025 +5.38%
Congress pfp
Lisa C. McClain R / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
Oct 22, 2025 Sep 11, 2025 +17.67%
Congress pfp
Lisa C. McClain R / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Purchase $1,001 - $15,000
Sep 12, 2025 Aug 19, 2025 +14.93%
Congress pfp
Lisa C. McClain R / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Purchase $1,001 - $15,000
Aug 13, 2025 Jun 24, 2025 +63.18%
Congress pfp
Jared Moskowitz D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Purchase $1,001 - $15,000
Jun 27, 2025 May 15, 2025 +11.59%
Congress pfp
Jared Moskowitz D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Purchase $1,001 - $15,000
Jun 27, 2025 May 15, 2025 +11.59%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Jun 10, 2025 May 07, 2025 +14.15%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Jun 10, 2025 May 07, 2025 +14.15%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $15,001 - $50,000
Jun 10, 2025 May 07, 2025 +14.15%
Congress pfp
Marjorie Taylor Greene R / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Purchase $1,001 - $15,000
May 06, 2025 May 05, 2025 +66.75%
Congress pfp
Bruce Westerman R / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Sale $1,001 - $15,000
May 12, 2025 Apr 21, 2025 +74.27%
Congress pfp
Marjorie Taylor Greene R / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Purchase $1,001 - $15,000
Apr 11, 2025 Apr 09, 2025 +65.89%
Congress pfp
Julie Johnson D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
May 14, 2025 Apr 07, 2025 +13.41%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Apr 10, 2025 Mar 12, 2025 +33.82%
Congress pfp
Bruce Westerman R / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Purchase $1,001 - $15,000
Apr 16, 2025 Mar 03, 2025 +43.22%
Congress pfp
Robert Bresnahan R / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
Mar 27, 2025 Feb 25, 2025 +31.67%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Mar 06, 2025 Feb 25, 2025 +31.67%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Feb 06, 2025 Jan 22, 2025 +39.92%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Feb 06, 2025 Jan 17, 2025 +42.64%
Congress pfp
Val T. Hoyle D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Sale $1,001 - $15,000
Sep 12, 2025 Dec 27, 2024 +46.16%
Congress pfp
Jared Moskowitz D / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Purchase $1,001 - $15,000
Dec 09, 2024 Nov 08, 2024 +45.67%
Congress pfp
Jared Moskowitz D / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Purchase $1,001 - $15,000
Dec 09, 2024 Nov 08, 2024 +45.67%
Congress pfp
Val T. Hoyle D / House
HCA logo
HCA HCA HEALTHCARE, INC. COMMON STOCK
Purchase $1,001 - $15,000
Sep 12, 2025 Oct 29, 2024 +18.39%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 08, 2024 Oct 15, 2024 +4.73%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Nov 08, 2024 Oct 15, 2024 +4.73%
Congress pfp
John James R / House
CMI logo
CMI CUMMINS INC. COMMON STOCK
Sale $1,001 - $15,000
Sep 06, 2024 Sep 04, 2024 +64.40%
Congress pfp
Ro Khanna D / House
CMI logo
CMI CUMMINS INC COMMON STOCK
Sale $50,001 - $100,000
Sep 06, 2024 Aug 20, 2024 +66.94%
Congress pfp
Ro Khanna D / House
CMI logo
CMI CUMMINS INC COMMON STOCK
Purchase $1,001 - $15,000
Sep 06, 2024 Aug 02, 2024 +67.60%
Congress pfp
Ro Khanna D / House
CMI logo
CMI CUMMINS INC COMMON STOCK
Purchase $15,001 - $50,000
Jul 08, 2024 Jun 24, 2024 +74.49%
Congress pfp
Ro Khanna D / House
CMI logo
CMI CUMMINS INC COMMON STOCK
Purchase $15,001 - $50,000
Jul 08, 2024 Jun 20, 2024 +79.04%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Sale $1,001 - $15,000
Jul 08, 2024 Jun 12, 2024 +17.61%
Congress pfp
Ro Khanna D / House
HCA logo
HCA HCA HEALTHCARE, INC CMN
Purchase $1,001 - $15,000
Jun 05, 2024 May 28, 2024 +24.65%