The main purpose of this legislation, known as the Rural ER Access Act, is to improve access to healthcare services in rural areas by changing the rules for off-campus medical facilities. Specifically, it aims to eliminate the requirement that these facilities must be located within a 35-mile radius of a hospital or critical access hospital to qualify for Medicare funding. Key provisions of this legislation require the Secretary of Health and Human Services to revise existing regulations within 60 days of the law being enacted.