Skip to main content

Newhouse Introduces Legislation to Designate Astria Toppenish as a Critical Access Hospital

July 10, 2025

WASHINGTON, D.C. – Today, Rep. Dan Newhouse (WA-04) introduced legislation to allow Astria Toppenish to be designated as a Critical Access Hospital, which is currently ineligible for certain rural hospital support due to unique geographic and economic factors and the number of patients it serves.

"This legislation helps address the unique financial situation of Astria Toppenish by allowing them to be designated as a Critical Access Hospital. Certain rural hospitals like Astria Toppenish face unique challenges qualifying for adequate federal reimbursements as the demand for services continues to rise. While there is plenty of work to be done in addressing these challenges, this legislation is a strong first step in reforming the way we support rural hospitals providing critical health services to our communities." said Rep. Newhouse.  

This legislation would directly benefit Astria-Toppenish as it delivers critical healthcare services to the area but is not currently eligible for CAH status. This status would allow it to access financial benefits that allow other rural hospitals to continue providing care to the communities they serve. 

"I’m proud of the collective work done to propel forward legislation for a Critical Access Hospital designation for Astria Toppenish Hospital. This rural facility serves a vital role in the Yakima Valley, especially for the residents of Toppenish and the Yakama Nation. Without this hospital, families would be left without access to timely, lifesaving care—and that’s simply unacceptable," said Brian Gibbons, President and CEO of Astria Health. 

Gibbons continued, "Astria Health has stretched resources as far as they can go, doing everything possible to keep the doors open. But no health system—especially one serving multiple underserved communities—can continue reallocating funds without consequences." 

Cathy Bambrick, Administrator for Astria Toppenish Hospital, added, "A Critical Access designation would allow Toppenish hospital to receive enhanced reimbursements for Medicare and Medicaid patients—who make up the majority of those treated at our facility. It’s a commonsense, fiscally responsible solution that supports rural health, preserves access to care, and upholds our commitment to underserved populations." 

The CAH designation is designed to reduce the financial vulnerability of rural hospitals and improve access to healthcare by keeping essential services in rural communities. To accomplish this goal, CAHs receive certain benefits, such as cost-based reimbursement for Medicare services. 

See full bill text here. 

### 

Issues: Health Care