Sec. 6101. Improving rural healthcare

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Section 6101 of the Agriculture Improvement Act of 2018 ( Public Law 115–334 ; 132 Stat. 4725) is amended— in the section heading, by striking and inserting Combating substance use disorder in rural America ; and Improving the rural care economy in subsection (a), by striking the subsection designation and heading and all that follows through period at the end of paragraph

(1)and inserting the following: The Secretary shall make the following prioritizations for fiscal years 2025 through 2031: In addition to the priorities under section 2333(d) of the Food, Agriculture, Conservation, and Trade Act of 1990 ( 7 U.S.C. 950aaa–2(d) ), in selecting recipients of financial assistance under chapter 1 of subtitle D of title XXIII of that Act ( 7 U.S.C. 950aaa et seq. ), the Secretary shall give priority to telemedicine projects that— provide substance use disorder prevention services, treatment services, recovery services, or any combination of those services; or provide mental or behavioral health services. In selecting recipients of direct loans or grants for the development of essential community facilities under section 306(a) of the Consolidated Farm and Rural Development Act ( 7 U.S.C. 1926(a) ), the Secretary shall give priority to entities eligible for those direct loans or grants to develop— healthcare facilities; or mental or behavioral health facilities, including certified community behavioral health clinics described in section 223 of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note; Public Law 113–93 ). In addition to the eligible uses of direct loans or grants for the development of essential community facilities under section 306(a) of the Consolidated Farm and Rural Development Act ( 7 U.S.C. 1926(a) ), an entity described in subclause

(I)that receives a direct loan or grant for a purpose described in that subclause may use the direct loan or grant funds for— providing medical supplies to increase medical surge capacity; increasing telehealth capabilities, including underlying healthcare information systems; supporting staffing needs of the facility described in that subclause, subject to the condition that the eligible entity shall not use more than 25 percent of the direct loan or grant funds for the purpose described in this item; and engaging in any other efforts to support rural development determined to be critical to address the healthcare or mental or behavioral health needs of rural areas, as determined by the Secretary. For fiscal years 2025 through 2031, the Secretary shall not make any national reprioritizations within the Community Facilities direct loan and grant programs or the Distance Learning and Telemedicine programs under section 608 of the Rural Development Act of 1972 ( 7 U.S.C. 2204b–2 ). .

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