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S. 4460119th CongressINTRODUCEDBIPARTISAN

Rural Community Hospital Demonstration Program Reauthorization

Introduced Apr 30, 2026Chuck Grassley (R-IA)16 cosponsorsSource

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.

Bill text versions

Legislative Journey

  1. Introduced
  2. Committee
  3. Floor
  4. Passed Chamber 1
  5. Passed Chamber 2
  6. Signed
May 21, 2026

Held at the desk.

House
May 21, 2026

Message on Senate action sent to the House.

Senate
May 21, 2026

Received in the House.

House
May 20, 2026

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

Senate
May 20, 2026

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

May 20, 2026

Senate Committee on Finance discharged by Unanimous Consent.

Senate
May 20, 2026

Senate Committee on Finance discharged by Unanimous Consent.

Apr 30, 2026

Read twice and referred to the Committee on Finance.

Senate
Apr 30, 2026

Introduced in Senate