S4460Passed Senate

Rural Community Hospital Demonstration Program Reauthorization

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Introduced
In Committee
Passed One Chamber
4
Passed Both
5
Signed into Law
119th
Congress
2026-04-30
Introduced
16
Cosponsors
S
ⓘ
Type

Sponsor

Chuck Grassley
Chuck Grassley
Republican · IA · Senator
Votes with party: 75.5% (834 recorded votes)

Full profile: /officials/G000386

Source: Congress.gov · FEC

Cosponsors (16)

Members who have signed on to support this bill since introduction. Source: Congress.gov.

Latest Action

The most recent step in the bill's legislative path. Committee Activity below shows referrals and reports; the full action-by-action history including floor proceedings lives at Congress.gov →

Held at the desk.

2026-05-21

Source: Congress.gov

Committee Activity

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Plain-English Summary

Rural Community Hospital Demonstration Program Reauthorization This bill extends the Rural Community Hospital Demonstration Program for an additional five years. The program tests the feasibility of cost-based reimbursement under Medicare for small rural hospitals that are too large to qualify for special payment as critical access hospitals. The bill specifies that hospitals that participate in the program between December 30, 2024, and January 1, 2027, may continue to participate during the five-year extension period.

Plain-English rewrite of the Congressional Research Service summary published on Congress.gov. Cached and reviewed.

Subjects

Health

Full Bill Text

Verbatim text published on Congress.gov via GovInfo. Use Cmd+F / Ctrl+F to search within this excerpt.

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [S. 4460 Introduced in Senate (IS)] <DOC> 119th CONGRESS 2d Session S. 4460 To provide for an extension of the rural community hospital demonstration program. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES April 30, 2026 Mr. Grassley (for himself, Mr. Bennet, Mr. Crapo, Mr. Wyden, Mr. Sullivan, Mr. Lujan, Mrs. Hyde-Smith, Mr. Welch, Mr. Moran, Mr. King, Ms. Murkowski, Mr. Merkley, Mr. Ricketts, Mr. Heinrich, Mr. Lankford, and Mr. Hickenlooper) introduced the following bill; which was read twice and referred to the Committee on Finance _______________________________________________________________________ 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).''. <all>
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