This bill establishes provisions for rural emergency hospitals in Kansas to transition a limited number of swing beds to skilled nursing facility beds. The Secretary for Aging and Disability Services is required to grant waivers to these hospitals, provided they meet specific criteria: they must be currently licensed as a rural emergency hospital, have been licensed as a hospital immediately prior to this designation, and must have provided skilled nursing facility services or critical access hospital swing bed services for at least one year without any findings of immediate jeopardy.

Additionally, the bill modifies the effective date of the act, stating that it will take effect upon publication in the Kansas register, replacing the previous requirement for publication in the statute book. This change aims to streamline the regulatory process for rural emergency hospitals seeking to enhance their service capabilities in skilled nursing care.