HouseH.R. 8967119th Congress
Rural Community Hospital Demonstration Program Reauthorization
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[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8967 Introduced in House (IH)]
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119th CONGRESS
2d Session
H. R. 8967
To provide for an extension of the rural community hospital
demonstration program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 21, 2026
Mr. Feenstra (for himself, Mr. Golden of Maine, Mr. Flood, Ms. Bynum,
Mrs. Miller-Meeks, Mrs. Hinson, Mr. Nunn of Iowa, Mr. Smith of
Nebraska, Mr. Thompson of Mississippi, Mr. Mann, Ms. Leger Fernandez,
Ms. Balint, Mr. Schmidt, Ms. Stansbury, Ms. Pingree, and Mr. Guest)
introduced the following bill; which was referred to the Committee on
Ways and Means
_______________________________________________________________________
A BILL
To provide for an extension of the rural community hospital
demonstration program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Rural Community Hospital
Demonstration Program Reauthorization''.
SEC. 2. FIVE-YEAR EXTENSION OF THE RURAL COMMUNITY HOSPITAL
DEMONSTRATION PROGRAM.
(a) In General.--Subsection (a)(5) of section 410A of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 (Public
Law 108-173; 42 U.S.C. 1395ww note), is amended by striking ``15-year
extension period'' and inserting ``20-year extension period''.
(b) Conforming Amendments for Extension.--
(1) Extension of demonstration period.--Subsection (g) of
such section 410A is amended--
(A) in the subsection heading, by striking
``Fifteen-Year'' and inserting ``Twenty-Year'';
(B) in paragraph (1)--
(i) by striking ``additional 15-year'' and
inserting ``additional 20-year''; and
(ii) by striking ``15-year extension
period'' and inserting ``20-year extension
period'';
(C) in paragraph (2), by striking ``15-year
extension period'' and inserting ``20-year extension
period'';
(D) in paragraph (3), by striking ``15-year
extension period'' and inserting ``20-year extension
period'';
(E) in paragraph (4), by striking ``15-year
extension period'' each place it appears and inserting
``20-year extension period'';
(F) in paragraph (5), by striking ``15-year
extension period'' each place it appears and inserting
``20-year extension period''; and
(G) in subparagraph (A) of paragraph (6), by
striking ``15-year extension period'' and inserting
``20-year extension period''.
(2) Rule for hospitals that are not original participants
in the demonstration.--Paragraph (5) of subsection (g) of such
section 410A is amended--
(A) in subparagraph (B), by striking ``Additional
extension'' and inserting ``CAA, 2021 extension''; and
(B) by adding at the end the following new
subparagraph:
``(C) Additional extension.--During the fourth 5
years of the 20-year extension period, the Secretary
shall apply the provisions of paragraph (4) to rural
community hospitals that are not described in paragraph
(4) but are participating in the demonstration program
under this section at any time during the period
beginning on December 30, 2024, and ending on January
1, 2027, in a similar manner as such provisions apply
to rural community hospitals described in paragraph
(4).''.
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