An open-access opinion in the online Journal of the American Medical Association (JAMA Network) examines the new federal designation that would convert eligible rural hospitals to facilities that exclusively provide emergency and outpatient services.  The authors identify potential benefits that may prevent closure of a growing number of at-risk hospitals. They also describe a number of potential unintended consequences that will need to be monitored, such as increasing the difficulty of recruiting and retaining rural clinicians.

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