ARCH Act

The ARCH Act extends Medicare payment protections for rural hospitals through 2031, specifically prolonging the Medicare-Dependent Hospital (MDH) and Medicare Low-Volume Hospital (LVH) programs that prevent payment cuts for financially vulnerable facilities. It requires the GAO to report on rural hospital classifications - including critical access hospitals, rural emergency hospitals, and others - to analyze overlaps and recommend simplifications. The report must also assess how changing cost-reporting rules might improve financial stability for rural hospitals. This bill directly affects rural hospitals qualifying under MDH or LVH designations, ensuring continued Medicare funding until 2031.