This bill proposes to amend the Social Security Act to facilitate the designation of certain rural hospitals as Critical Access Hospitals (CAHs) . It specifically waives existing distance requirements for rural community hospitals that were participating in a demonstration program established under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. This waiver applies for a limited one-year period , beginning six months after the bill's enactment. The aim is to allow these specific rural facilities to gain CAH status, which typically provides enhanced Medicare reimbursement and operational flexibility. A conforming amendment clarifies that a rural community hospital, as defined, is not considered a Critical Access Hospital unless designated under these new provisions.