S. 4460 Passed the Senate Health

Rural Community Hospital Demonstration Program Reauthorization

A bill to provide for an extension of the rural community hospital demonstration program.

  1. Introduced
  2. Committee
  3. Passed Senate
  4. Passed House
  5. To President
  6. Became law
Sponsor Sen. Grassley, Chuck [R-IA] Introduced April 30, 2026 Cosponsors 16 (7 D, 8 R, 1 I) Latest action May 21, 2026

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.

Summary by the Congressional Research Service, Library of Congress.

Congress.gov

Actions

  1. May 21, 2026 Held at the desk.
  2. May 21, 2026 Received in the House.
  3. May 21, 2026 Message on Senate action sent to the House.
  4. May 20, 2026 Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
  5. May 20, 2026 Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
  6. May 20, 2026 Senate Committee on Finance discharged by Unanimous Consent.
  7. Apr 30, 2026 Read twice and referred to the Committee on Finance.
  8. Apr 30, 2026 Introduced in Senate

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