Critical access hospitals; swing beds.

The document status changed from 'House Substitute' to 'Enrolled', reflecting the bill's final approval and enactment into law.

Changed the swing bed limit for Critical Access Hospitals from a strict daily maximum of 10 beds to an annual average of 10 beds, with a safety cap of 15 beds for no more than five consecutive days.

Replaced the previous 30-day limit for non-CAH hospitals using swing beds with a new 30-day limit per individual patient.

Mandated that the State Commissioner of Health collect and publicly release annual data from CAHs using the new averaging method.

Added a penalty mechanism where hospitals exceeding the average limit for two years must switch to a strict daily calculation until they demonstrate compliance for two consecutive years.

Extended the expiration date of the new swing bed averaging rules from their original end date to July 1, 2028.

Corrected a typo in the rural hospital definition section and updated the name of the Virginia Hospital and Health Care Association.