Skip to main content
S 4460 119th Congress Senate Health Health care costs and insurance Health care coverage and access Health programs administration and funding Hospital care Medicare Rural conditions and development

Rural Community Hospital Demonstration Program Reauthorization

Introduced: April 30, 2026 Introduced by: Grassley, Chuck Republican · Iowa See on congress.gov
 Everywhere this bill has been 8 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
May 21, 2026
Held at the desk.
May 21, 2026
Received in the House.
May 21, 2026
Message on Senate action sent to the House.
May 20, 2026
Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
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.
Apr 30, 2026
Read twice and referred to the Committee on Finance.
Apr 30, 2026
Introduced in Senate
 Plain-English summary Congressional Research Service

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.

What's happening now May 21, 2026

Held at the desk.

 Committees of jurisdiction 1