Rural Community Hospital Demonstration Program Reauthorization (S. 4460)
IntroducedLatest Action
Held at the desk.
5/21/2026 • House
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.
Introduced in Senate • 4/30/2026
Topics & Subjects
Congressional Votes (0)
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Related Federal Spending
Sponsor & Cosponsors (17)
Party Breakdown
Sponsor
Cosponsors (16)
Bill Journey
Originated in the Senate
Introduced
April 30, 2026
Committee Review
May 20, 2026
Senate Committee on Finance discharged by Unanimous Consent.
Floor Debate
May 20, 2026
Passed Chamber
Other Chamber
May 21, 2026
President
Enacted into Law
Text Versions (2)
Related Bills (1)
Details
Sources and method
· Congress.gov, CRS, USAspending, FEC, LDA · Record updated Jul 18, 2026
- Congress.govLibrary of CongressStatus, actions, sponsors, cosponsors, committees and textRecord updated Jul 18, 2026 · Loaded Oct 28, 2026, 1:23 PM ET
- CRS bill summaryCongressional Research Service, via Congress.govOfficial summarySummary of the “Introduced in Senate” version, Apr 30, 2026 · Loaded Oct 28, 2026, 1:23 PM ET
- USAspending.govU.S. Department of the TreasuryRelated Federal Spending section
- FEC filingsFederal Election CommissionFunding & Lobbying section
- Lobbying disclosures (LDA)Secretary of the Senate and Clerk of the HouseFunding & Lobbying section
All sources: Public domain (17 U.S.C. § 105) · Method: Data sources → · Campaign finance →
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Dates shown where the source reports one. “Loaded” is when CIV.IQ last fetched the record.