PEAKS Act

This bill (S 4101, PEAKS Act) modifies distance requirements for critical access hospitals (CAHs) in rural and mountainous areas. It deems hospitals already designated as CAHs to meet the 15-mile distance rule for mountainous terrain or secondary roads after January 1, 2026, if they demonstrated compliance at their last certification and have a new facility within 10-15 miles. It also adjusts ambulance service distance rules, changing the standard from 35 miles to 15 miles for CAHs serving mountainous or secondary road areas starting January 1, 2025. These changes directly affect rural hospitals and their ambulance services, aiming to maintain access in geographically challenging regions.