S. 4460 · 119th Congress
Rural Community Hospital Demonstration Program Reauthorization
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Passed the Senate without a recorded vote. It passed by voice vote or unanimous consent, which don't record how each member voted. Its text can still change before it becomes law.
R
GrassleySponsor16 cosponsors · 7 D, 8 R, 1 I
D
Bennet
MC
R
Crapo
JH
D
Hickenlooper
MH
D
Heinrich
CH
R
Hyde-Smith
AK
I
King
BL
D
Luján
JL
R
Lankford
JM
R
Moran
LM
R
Murkowski
JM
D
Merkley
PR
R
Ricketts
DS
R
Sullivan
RW
D
Wyden
PW
D
Welch
DF
R
Fischer15 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.
- Senate Introduced Apr 30, 2026
- Senate Passed May 20, 2026
Rural Community Hospital Demonstration Program Reauthorization
What it does: CRS summary · Introduced in Senate · Apr 30, 2026
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.
Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov
About this bill and sources
Official title: Rural Community Hospital Demonstration Program Reauthorization
Latest action (May 21, 2026): Held at the desk.
Policy area: Health · Origin: Senate · Introduced: Apr 30, 2026
Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)
- Senate Introduced Apr 30, 2026
- Senate Passed May 20, 2026
No recorded floor vote found.