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S. 4460 Senate Health

Rural Community Hospital Demonstration Program Reauthorization

Introduced
Apr 30, 2026
Sponsor
Sen. Grassley, Chuck (R-IA)
View on Congress.gov (opens in a new tab)

STAGE 5 OF 8 — SENATE FLOOR

Currently in the Senate. Last action: held at the desk on May 21, 2026.

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

Cosponsors

16

Subjects

Health care costs and insuranceHealth care coverage and accessHealth programs administration and fundingHospital careMedicareRural conditions and development

Committees

  • Finance Committee
    • Discharged From , May 20, 2026
    • Referred To , Apr 30, 2026

Summary

Rural Community Hospital Demonstration Program ReauthorizationThis 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 as of: Introduced in Senate

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