CONGANALYTICS
Bills/S 4460
S 4460Introduced

Rural Community Hospital Demonstration Program Reauthorization

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Legislative Progress
Introduced
Committee
Passed House
Passed Senate
Both Chambers
Enacted
SummaryIntroduced in Senate
2026-04-30

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.

Text Versions2 versions
VersionDateFormats
Engrossed in Senate2026-05-20T04:00:00Z
Formatted TextPDFFormatted XML
Introduced in Senate2026-04-30T04:00:00Z
Formatted TextPDFFormatted XML
Introduced2026-04-30
119th Congress
Cosponsors16
Co-sponsoring members
Policy AreaHealth
Primary subject
Last Action2026-05-21
Held at the desk.
Sponsor
Grassley, ChuckR
senate · Iowa
Legislative Subjects6 total
Health care costs and insuranceHealth care coverage and accessHealth programs administration and fundingHospital careMedicareRural conditions and development
Cosponsors16 members
DSen. Bennet, Michael F. [D-CO]CORSen. Crapo, Mike [R-ID]IDDSen. Wyden, Ron [D-OR]ORRSen. Sullivan, Dan [R-AK]AKDSen. Luján, Ben Ray [D-NM]NMRSen. Hyde-Smith, Cindy [R-MS]MSDSen. Welch, Peter [D-VT]VTRSen. Moran, Jerry [R-KS]KSISen. King, Angus S., Jr. [I-ME]MERSen. Murkowski, Lisa [R-AK]AKDSen. Merkley, Jeff [D-OR]ORRSen. Ricketts, Pete [R-NE]NEDSen. Heinrich, Martin [D-NM]NMRSen. Lankford, James [R-OK]OKDSen. Hickenlooper, John W. [D-CO]CORSen. Fischer, Deb [R-NE]NE
Latest Action2026-05-21

Held at the desk.