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S. 4460

Rural Community Hospital Demonstration Program Reauthorization

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.

Held at the desk.

Sen. Grassley, Chuck [R-IA](R-IA)Sponsor
16 cosponsors7 D8 R1 I
16cosponsors1committees9actions6subjects
  • Engrossed in SenateMay 20, 2026
  • Introduced in SenateApr 30, 2026
  1. FloorH15000

    Held at the desk.

  2. FloorH14000

    Received in the House.

  3. Floor

    Message on Senate action sent to the House.

  4. Floor

    Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)

  5. Floor17000

    Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.

  6. Discharge

    Senate Committee on Finance discharged by Unanimous Consent.

  7. Committee14500

    Senate Committee on Finance discharged by Unanimous Consent.

  8. IntroReferral

    Read twice and referred to the Committee on Finance.

  9. IntroReferral10000

    Introduced in Senate

Rural Community Hospital Demonstration Program Reauthorization — Informed