A central Alabama medical center is beginning a major change in how it does business.

Regional Medical Center of Central Alabama (RMCCA) in Greenville has announced it is transitioning to a rural emergency hospital.

The center is expected to lay off about 90 employees across various departments as a result of the move.

A rural emergency hospital is a Medicare provider designation established by Congress in 2021. REHs maintain access to outpatient medical services in areas that may not be able to sustain a full-service hospital.

On Thursday, the hospital announced it will file an application with the State Health Planning and Development Agency to begin the process.

In an announcement, RMCCA said the decision “represents the hospital’s best opportunity to achieve financial stability an

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