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Passed origin
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119th Congress · S. 4460 · Passed Origin

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.

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SubjectsHealth care costs and insuranceHealth care coverage and accessHealth programs administration and fundingHospital careMedicareRural conditions and development
Sponsor
Charles E. Grassley, R-IA
11 terms · @ChuckGrassley
135 Hart Senate Office Building Washington DC 20510 · 202-224-3744
Cosponsors (16)
  • Michael F. Bennet, D-COOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 4 terms · @SenatorBennet
  • Michael D. Crapo, R-IDOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 8 terms · @MikeCrapo
  • Ron Wyden, D-OROriginal cosponsor
    Co-sponsored Apr 30, 2026 · 14 terms · @RonWyden
  • Dan Sullivan, R-AKOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 2 terms · @SenDanSullivan
  • Ben R. Luján, D-NMOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 7 terms · @SenatorLujan
  • Cindy Hyde-Smith, R-MSOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 3 terms · @SenHydeSmith
  • Peter Welch, D-VTOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 9 terms · @PeterWelch
  • Jerry Moran, R-KSOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 10 terms · @JerryMoran
  • Angus S. King Jr., I-MEOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 3 terms · @SenAngusKing
  • Lisa A. Murkowski, R-AKOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 5 terms · @LisaMurkowski
  • Jeff Merkley, D-OROriginal cosponsor
    Co-sponsored Apr 30, 2026 · 3 terms · @SenJeffMerkley
  • Pete Ricketts, R-NEOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 2 terms · @SenatorRicketts
  • Martin Heinrich, D-NMOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 5 terms · @MartinHeinrich
  • James Lankford, R-OKOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 5 terms · @SenatorLankford
  • John W. Hickenlooper, D-COOriginal cosponsor
    Co-sponsored Apr 30, 2026 · 1 term · @SenatorHick
  • Deb Fischer, R-NE
    Co-sponsored May 11, 2026 · 3 terms · @SenatorFischer
Committees (1)
  • Finance Committee
    Senate Standing · Activity May 20, 2026
Actions (9)
  1. May 21, 2026 · via House floor actions
    Held at the desk.
  2. May 21, 2026 · via House floor actions
    Received in the House.
  3. May 21, 2026 · via Senate
    Message on Senate action sent to the House.
  4. May 20, 2026 · via Senate
    Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
  5. May 20, 2026 · via Library of Congress
    Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
  6. May 20, 2026 · via Senate
    Senate Committee on Finance discharged by Unanimous Consent.
  7. May 20, 2026 · via Library of Congress
    Senate Committee on Finance discharged by Unanimous Consent.
  8. Apr 30, 2026 · via Senate
    Read twice and referred to the Committee on Finance.
  9. Apr 30, 2026 · via Library of Congress
    Introduced in Senate
IntroducedApr 30, 2026
Policy areaHealth
RelatedH.R. 8967
⎔ Pre-anchorPermanent record — anchoring ships soonEpoch 2026-Q4