Requiring the commissioner of health to temporarily award interest free rural hospital capital improvement grants or loans to eligible rural hospitals, defining eligible rural hospital; specifying a grant or loan limit and authorizing retroactive application of funds to capital improvements under certain conditions; specifying application and commissioner eligibility determination evaluation and oversight requirements; providing for loan repayment, requiring deposit in the health care access fund; requiring the commissioner of finance to record obligated funds as grants in the state accounting system; appropriating money to the commissioner of health from the health care access fund for the grants and loans (je)