Rural hospital leaders nationwide are urging lawmakers to respond to the rural health care crisis. As rural hospitals are left with tough choices, like shutting down their obstetric unit, policy changes are necessary. New reporting claims that several state hospital associations are in support Congress enacting legislative fixes to ensure the sustainability of rural hospitals. The various state hospital associations support a rural health package with NRHA-backed solutions, such as allowing struggling rural PPS hospitals to convert to CAHs, and a long-term solution of a new payment model. We look forward to working alongside these associations as we urge Congress to act.