H.R. 1191 is a bill that wants to help small hospitals in the countryside by making it easier for them to join a special group called "critical access hospitals," even if they're not far from another hospital. This means these hospitals can get more help without having to meet the usual rule about being far away from another hospital.

This bill wants to make it easier for some small hospitals in the countryside to be called "special hospitals" that help more people, even if they're closer to big hospitals than normal rules usually allow. This helps them provide important care to people in faraway places for one year if they've been part of a special program.