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S. 4460 119th Congress Senate

Rural Community Hospital Demonstration Program Reauthorization

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

Introduced: April 30, 2026 Introduced by: Chuck Grassley Republican · Iowa See on congress.gov
Health Health care costs and insuranceHealth care coverage and accessHealth programs administration and fundingHospital care
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MedicareRural conditions and development
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 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
Message on Senate action sent to the House.
May 21, 2026
Received in the House.
May 20, 2026
Passed Senate without amendment by Unanimous Consent. (consideration: CR S2428; text: CR S2428)
May 20, 2026
Senate Committee on Finance discharged by Unanimous Consent.
May 20, 2026
Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
Apr 30, 2026
Introduced in Senate
Apr 30, 2026
Read twice and referred to the Committee on Finance.
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What's happening now May 21, 2026

Held at the desk.

 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.

 Related & companion bills 1
  • HR 8967 Identical bill Rural Community Hospital Demonstration Program Reauthorization
 Bill text 2 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Lobbying activity 2

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

Bodies those filers lobbied

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

 Cosponsors 16
All 16 Democratic 7 Republican 8 Independent 1
R
Fischer, Deb
Nebraska · May 11, 2026
 D
Bennet, Michael F.
Colorado · Apr 30, 2026
 R
Crapo, Mike
Idaho · Apr 30, 2026
 D
Heinrich, Martin
New Mexico · Apr 30, 2026
 D
Hickenlooper, John W.
Colorado · Apr 30, 2026
 R
Hyde-Smith, Cindy
Mississippi · Apr 30, 2026
 I
King, Angus S., Jr.
Maine · Apr 30, 2026
 R
Lankford, James
Oklahoma · Apr 30, 2026
 D
Luján, Ben Ray
New Mexico · Apr 30, 2026
 D
Merkley, Jeff
Oregon · Apr 30, 2026
 R
Moran, Jerry
Kansas · Apr 30, 2026
 R
Murkowski, Lisa
Alaska · Apr 30, 2026
 R
Ricketts, Pete
Nebraska · Apr 30, 2026
 R
Sullivan, Dan
Alaska · Apr 30, 2026
 D
Welch, Peter
Vermont · Apr 30, 2026
 D
Wyden, Ron
Oregon · Apr 30, 2026
Cite this page click to expand
APA
U.S. Congress. (2026). S. 4460: Rural Community Hospital Demonstration Program Reauthorization. 119th Congress. Open America. https://openamerica.io/bill/119-S-4460/
MLA
"S. 4460: Rural Community Hospital Demonstration Program Reauthorization." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-S-4460/.
Bluebook (legal)
S. 4460, 119th Cong. (2026), https://openamerica.io/bill/119-S-4460/.
Markdown link
[S. 4460: Rural Community Hospital Demonstration Program Reauthorization](https://openamerica.io/bill/119-S-4460/)
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