The Federation of American Hospitals (FAH) membership includes many rural hospitals.  Rural hospitals serve the more than 60 million Americans who live in rural regions, representing 20% of the entire U.S. population.  Rural hospitals are often the sole provider of comprehensive medical care in their communities, and also the largest or second largest employer and economic engine in these areas.

Rural hospitals traditionally serve older, low-income populations. This unique patient demographic in rural regions often lends to a dichotomy: a high volume of Medicare-dependent patients, but a lower volume of total patients overall.

The FAH is committed to the permanent extension of the Low-Volume Hospital Payment Adjustment (LVH) and Medicare Dependent Hospital Program (MDH) that are essential for rural hospitals to continue to serve their communities.  The FAH supports the Rural Hospital Access Act of 2017 (H.R. 1955/S.872), introduced by Congressman Tom Reed (R-NY) and Peter Welch (D-VT) and Senators Chuck Grassley (R-IA) and Chuck Schumer (D-NY), respectively, which would make the LVH  and MDH programs permanent.